A new area of potential liability for employers was recently opened when a class-action suit was filed against Johnson & Johnson (J&J), accusing it of mismanaging its pharmacy benefit...
The Centers for Medicare and Medicaid Services has proposed new rules aimed at streamlining the prior approval process for most health plans in the U.S. Under the proposal, starting in 2026,...
A new study has found that individuals enrolled in high-deductible health plans (HDHPs) are more engaged than their traditional plan counterparts during open enrollment, spending more time on...
That time of year is fast approaching and TCHP is excited to celebrate and spread some Christmas cheer. Tuesday night, Total Control Health Plans participated in Holland, Michigan's annual Parade of...
As group health costs continue climbing and more employees struggle with the cost of premiums and out-of-pocket expenses, some employers are starting to take a second look at self-funded or...
July 1 was the deadline for health plans to make public their in-network negotiated rates, out-of-network billed charges, and more. While health plans will be required to post this information,...
Regulations are slated to take effect over the next few years that will greatly increase the transparency requirements for group health plans. The regulations issued under the Trump administration...
Despite a new law requiring hospitals to post detailed pricing information for their treatments and procedures online, fewer than 10% of U.S. adults are aware of the requirement. That's a problem...
Group health plan insurers are expected to pay out $618 million in rebates to plan sponsors for the 2020 policy year after seeing use of health care services plummet during the COVID-19 pandemic....
The Trump Administration has issued a new rule that will require greater price transparency on the part of health insurers, including the rates charged by in-network physicians and copays and costs...
A number of plan sponsors have made changes to their group health plans in response to the COVID-19 pandemic, such as covering testing and sometimes treatment without any cost-sharing by the plan...
The $2 trillion Coronavirus Aid, Relief, and Economic Security (CARES) Act stimulus law to help American workers and businesses weather the outbreak has a number of provisions that employers and...
Let’s have a conversation on our dime to see if a Total Control Health Plan will meet your business or organization’s goals.
Contact us to schedule a free consultation today.