November 2024
The Alliance Events
As employee benefits become more complex, it’s essential for self-funded employers to stay on top of compliance requirements to mitigate risk.
This session will explore how the Department of Labor (DOL) enforces benefit laws and what they scrutinize during audits. We'll discuss key regulations, including the Consolidated Appropriations Act (CAA), and examine the steps you can take now to prepare for a DOL audit or even a potential lawsuit from a plan enrollee. Strengthen your compliance efforts and ensure your benefit plans are audit-ready.
CE credits for HRCI, SHRM, and OCI have been applied for.?
Recent Blogs
Maximizing Savings and Care: The Benefits of Custom Networks for Self-Funded Employers
As the healthcare landscape continues to evolve, self-funded employers are seeking strategies to balance cost control with access to high-quality care for their employees. Custom provider networks have emerged as a solution, enabling employers to tailor healthcare access based on the unique needs of their workforce.??
Navigating PBMs: Ensuring Cost-Effective and Transparent Pharmacy Benefits for Self-Funded Employers
Pharmacy Benefit Managers (PBMs) play a pivotal role in the healthcare industry, especially for self-funded employers. PBMs are the intermediaries that administer prescription drug programs on behalf of self-funded employers, health plans, and other payers. Their role, while complex and often misunderstood, is crucial for controlling prescription costs and ensuring employees have access to medications.?
Proposed regulations are emerging, and many are questioning whether PBMs should be held to the same fiduciary standards as plan sponsors.
领英推荐
Health Equity: How Employers Can Help Achieve It
Health equity refers to the idea that everyone should have a fair opportunity to achieve their best possible health, regardless of social, economic, demographic, or geographic factors. It focuses on removing barriers—including income, race, or location—that lead to unequal health outcomes.??
Despite advances in healthcare, disparities persist, disproportionately affecting marginalized communities. These disparities often manifest in reduced access to care, poorer health outcomes, and increased financial burdens. To address these disparities, we must work toward health equity, and employers can play a pivotal role in achieving it.??
The Alliance Updates and Resources
OakLeaf Network Update
Bundled pricing for OakLeaf Medical Network (OakLeaf Surgical Hospital, Cumberland Hospital, and the clinic of Chippewa Valley Orthopedics & Sports Medicine) will no longer be available after 12/31/2024. OakLeaf will still be part of The Alliance networks, services will be provided on a fee-for-service basis.??
Updated Better Healthcare Consumer Packet?
We’ve updated our Better Healthcare Consumer packet and added two new pages to help employees understand their self-funded benefit plan and build a relationship with their primary care provider.
Reach out to your Account Executive for access to the booklet. You can also get pages as individual flyers.
Kwik Trip’s Bryan Trainor and Wesley Willows’ Frances Salinas were elected to The Alliance Board of Directors?
In October, the employer-members of The Alliance elected two new board members from key geographic areas where the not-for-profit healthcare cooperative is growing.