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Questions from industry stakeholders have prompted the Obama administration to clarify annual limits on cost sharing under the ACA and how they apply to individuals, families, and self-funded and large group health plans.
Under the ACA non-grandfathered group health plans are required to ensure that any annual cost sharing imposed under the plan does not exceed certain limitations and an enrollees out-of-pocket costs for essential health benefits are limited.
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Employers face another steep rise in healthcare expenses in 2027, prompting a closer look at GLP-1 coverage, pharmacy spending and high-cost conditions.
Collaboration between employers, brokers and third-party administrators will be essential to developing customized, cost-effective and employee-friendly solutions.
As costs to treat serious conditions surge, employers must plan how to absorb budget-altering expenses ahead of time.
The 2026 Excellence in Benefits winner is leading the insurance company's efforts to close the preventative care gap and personalize the employee experience.
Gap coverage, supplemental benefits and options for various types of workers can help avoid cost shifting and still provide support.
