Your TPA Controls Your Claims Data. Take It Back Before Renewal.
Your TPA controls your claims data, and renewal is the only point each year when you can change that. With 67% of covered U.S. workers in self-funded plans, your data is a plan asset you must monitor. This post shows what your contract may be hiding, what the law now requires, and concrete steps to take before you sign off on that next renewal.
More Than Half of Employers Are Raising Deductibles in 2026: Try This Instead.
Mercer says employer health costs will top $18,500 per worker in 2026, and 51% of large employers are responding the same way: raise the deductible. That move does not cut cost. It shifts it onto your employees and leaves the waste untouched. With 25% to 30% of healthcare spending wasted, the real savings sit in your own claims data. Here are five actions that cut real cost this year.
Your PBM Contract Is Now a Fiduciary Liability: Lessons from Three Landmark Lawsuits
Blog Your PBM Contract Is Now a Fiduciary Liability: Lessons from Three Landmark Lawsuits [post_meta] By Jude Odu June 1, 2026 Johnson and Johnson. Wells Fargo. JPMorgan Chase. Three of the most sophisticated companies in the country, with full legal departments and dedicated compliance teams. All three are now defendants in ERISA class action lawsuits. […]
CAA 2026 Changed the PBM Rules: Five Things Every Self-Insured Plan Sponsor Must Do Now
Blog CAA 2026 Changed the PBM Rules: Five Things Every Self-Insured Plan Sponsor Must Do Now By Jude Odu April 24, 2026 On February 3, 2026, the Consolidated Appropriations Act of 2026 was signed into law. One section of that law quietly rewrote the rules for how your pharmacy benefit manager must treat your plan’s […]
