Before switching from a fully insured group health plan to a self-funded plan, organizations should take several factors into ...

We are sometimes asked whether a self-funded group health plan is required to cover gender-affirming medical services. As this post explains in detail, it is generally impracticable for a self-funded ...

The landscape of employer-sponsored healthcare is rapidly evolving, with rising costs (registration required) driving the need for innovative funding alternatives. As a group health plan consultant ...

Small- and midsize businesses are worried about affording group health plans, with 89% fearing unsustainability within three years. A majority of employers prefer contributing to employees' ...

Many employers are facing challenges in incorporating high-cost GLP-1 medications, such as Mounjaro, Ozempic, Rybelsus, Trulicity, and Wegovy, into their group health plans, as they must balance the ...

What’s the difference between the highest- and lowest-performing employer-sponsored health plans? High-performing plans ranked high on their ability to deliver clear communication and meaningful ...

The transaction with the Cooperative makes Priority Health a four-state health plan, according to a press release.