The Downside of Vertical Integration in Healthcare: Unraveling the Web of Consolidation

In recent years, the healthcare landscape has witnessed a significant trend – the rise of vertical integration. This phenomenon involves consolidating different stages of the healthcare supply chain, with entities like health insurance companies acquiring pharmacy benefit managers and hospitals absorbing independent medical practices.
President Biden Updates the Nation on His Battle with Pharmacy Benefit Managers

Between the recent Healthcare Super Bowl commercial, Mark Cuban interviews, and celebrity endorsements, Healthcare Transparency remains a hot topic and will continue to be so for the foreseeable future.
Don’t Make This One Mistake When Benchmarking Your Health Plan

In addition to your other CFO or HR responsibilities, you’re now in charge of finding and implementing the employee benefits program for your company. First, congratulations! This is a powerful position to be in where you can truly impact your employees’ financial, physical, and emotional well-being.
Chelsea Ryckis: Most Innovative Healthcare Consultant of the Year for 2024

We are thrilled to announce that Chelsea Ryckis, President of Ethos Benefits, was honored as the Most Innovative Consultant of the Year for 2024 at the Annual +You Awards Banquet on February 6, 2024, in Puerto Rico.
Mark Cuban’s Call: A Wake-Up Call for Employers

In the intricate realm of healthcare benefits, voices calling for change and transparency often struggle to be heard. Consultants tirelessly advocate for more transparent, fair, and affordable healthcare solutions, but their messages are sometimes brushed aside. Enter Mark Cuban, a name synonymous with entrepreneurial success and innovation. If the earnest appeals of consultants have yet to sway you, maybe it’s time to lend an ear to what Cuban has to say.
What happens behind the scenes with your health insurance?

One important aspect in healthcare benefits is Gag Clause Compliance, which is essential for understanding your healthcare coverage. Let’s break down what Gag Clause Compliance means for you and your employer-sponsored health plan.
Guidelines for Processing Medical Loss Ratio Rebates

Many sponsors of fully insured health plans either already have or will soon receive checks from their insurance carriers, along with a notice informing them that the review is a medical loss ratio (MLR) rebate. Plan sponsors should receive these checks by September 30, 2023. The MLR rules implemented as part of health care reform […]