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.

Fiduciaries need the people, process, and technology to ensure plan oversight. After nearly a decade of litigation , Aetna Life Insurance...

We’re proud to see PLANSPONSOR continuing to advance the fiduciary conversation for employer health plans. In a recent article, Fiduciary...

Without transparency and access to THEIR data, plan sponsors risk breaching fiduciary duty under ERISA and the CAA. The 2025 Pulse of the...

On September 3, 2025, the U.S. Department of Health and Human Services unveiled a major enforcement initiative targeting practices that restrict patient access to their own electronic health information (EHI).

2020 was a landmark year in healthcare – and not just because of Covid-19. Over the last 18 months, multiple government agencies have...

Employers and employees alike have witnessed the consequences of what happens when prices render healthcare inaccessible. Yet, it seems...

To protect their networks and bottom lines, health insurers don’t aggressively pursue widespread fraud, making it easy for scammers. Then...

Martand Bhatt's parents weren't sure he needed immediate medical care when the energetic toddler burned his hand on the kitchen stove one...

Code Creeping or Upcoding. It's all the same and the damage this has to employer plans across the country far exceeds the impact to...

Georgia's insurance commissioner has fined Blue Cross Blue Shield $5 million for violations of state laws and agency rules and...

We’re excited to announce that Stephen Carrabba, our President and co-founder, was featured in the most recent edition of The Self...