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Catch Up On the Latest in Fiduciary Compliance Through Payment Integrity



The Hidden Costs of Cross-Plan Offsetting for Self-Funded Plans
Cross-plan offsetting costs self-funded plans millions in hidden fees. Learn how bulk recovery practices create fiduciary risks and what sponsors can do.
Dec 18, 20253 min read


Independent Claims Reviews: A Fiduciary Imperative
For many plan sponsors, the word “audit” suggests penalties or after-the-fact corrections. In reality, independent claims reviews are about prevention, transparency, and protecting plan assets — not punishment.
Dec 12, 20252 min read


Pension Predators or Legitimate Oversight? The ERISA Litigation Crisis Is Threatening Your Retirement Plan
ERISA class-action litigation is accelerating, putting retirement plan sponsors and fiduciaries under unprecedented pressure. Explore how recent court decisions, rising settlements, and proposed legislative reforms impact retirement plans—and what fiduciaries can do now to protect participants, reduce risk, and build a defensible governance framework.
Dec 12, 20253 min read


Health Plan Oversight: The Role of Benefits Committees and Fiduciary Duty
Benefits committees are becoming essential to ERISA compliance for self-funded health plans. Learn why structured oversight of vendors, fees, claims accuracy, and data transparency is a fiduciary imperative—and how benefits committees strengthen governance, reduce risk, and protect plan participants.
Dec 12, 20252 min read


Hidden Fees in Self-Funded Health Plans: Reading Between the Lines
The next “401(k) fee crisis” won’t be about retirement plans — it’s happening in healthcare. Self-funded plan sponsors face a wave of hidden costs buried in ASO, PBM, and stop-loss contracts. What appears to be routine administration often masks charges that drain plan assets and compromise compliance.
Dec 4, 20252 min read


Claim Audit vs. Claim Review: Why Fiduciaries Must Know the Difference For ERISA and CAA Compliance
The carrier controls claim audits. Claim reviews are fiduciary responsibilities under ERISA. Understand why reviews are crucial for safeguarding plan assets. Audits offer a snapshot of a carrier’s operations. Reviews are your fiduciary duty under ERISA. Fiduciaries must understand the difference to protect plan assets.
Oct 21, 20252 min read


Renewal Season Reminder: Be Prudent with Shared Savings and Cross-Plan Offsetting To Ensure ERISA Compliance
As renewal season unfolds, fiduciaries face a critical opportunity to align contracts with their ERISA duty: act solely in the interest of participants and prudently manage plan assets
Oct 14, 20252 min read


When 'shared savings' really means shared conflicts and the importance of transparency, independent oversight, and true accountability
Excited to see Employee Benefit News highlighting Stephen Carrabba , ClaimInformatics, Inc. , and Jamie Greenleaf, AIF, CBFA, C(k)P,...
Sep 29, 20251 min read


Systematic Overbilling and Upcoding at Women’s Health Care Group - What Self-Funded Plans Should Know
Florida Women's Care, one of the largest women’s health providers in the state, revealed troubling allegations of systematic overbilling and upcoding designed to pad private equity profits. These practices come at a steep cost to patients and health plans.
Sep 23, 20252 min read


Aetna & Optum Settle “Dummy Codes” Case for $8.4M: What Fiduciaries Should Learn.
Fiduciaries need the people, process, and technology to ensure plan oversight. After nearly a decade of litigation , Aetna Life Insurance...
Sep 19, 20252 min read
Notable Podcast Features


The Fascinating Story of Billions of Dollars Going Missing When the Back Office Pays Health Care Bills
Audacity Podcast -
Play now

Reconstructing Healthcare: Innovative Solutions For Employers To Lower Their Healthcare Costs
Podchaser Podcast -
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Inside Big Health Insurers' Side Hustle
Tradeoffs Podcast -
Play now
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