Expert Opinion

In mid-February, CMS released revised instructions for the highly anticipated third RxDC reports, which encompass the 2023 calendar year and are due…

An employee is suing Johnson & Johnson for breaching their fiduciary duty of effectively managing their health benefits. This could drive major change in the industry.

Over the last two years, a compliance tidal wave has loomed over employers and their benefit advisors. The crest of this massive wave has begun to touch down upon fiduciaries of employer groups, so how can benefit advisors stay dry?

Regardless of its outcome, this class action will dramatically change pharmacy benefit management and the standard of care to which management will be held on benefit design.

Small businesses often work with professional employer organizations for certain HR functions, and when they're involved in an M&A transaction, the parties will need to work through a variety of issues.

Third-party financial service companies are stepping in to pay providers in full immediately after a claim is filed, then they assume the financial relationship with the patient to collect due balances.

For many Gen Zers, urgent care is primary care, however, they need comprehensive care because they have unusually high rates of health problems for their age group and their mental health issues are unprecedented.

In part four, we will attempt to explain the actual process plan sponsors and their partners must follow in order to comply with reporting regulations