News & Events
Fiduciary-minded benefits: the roles and responsibilities of advisors
By taking decisive action and supporting employer groups in their pursuit of prudent fiduciary actions, benefits advisors can help reshape the health care ecosystem and ensure cost-effective, high-value care for all employers and employees. By Mark Galvin| Over $1.3 trillion is spent on private health insurance, with per-enrollee spending by private insurers growing by 61.6% from…
Read More4 Ways To Ensure Compliance In Employer Healthcare Plans
By: Mark Galvin Surprising most within the employer-sponsored health insurance industry, on February 5, 2024, a lawsuit was filed by a class of Johnson & Johnson (JNJ) employees against JNJ and the Pension & Benefits Committee, as well as the committee members. Notably, the class action complaint lodged against JNJ alleges that the company paid…
Read MoreEmployers must provide health care cost comparison tools to workers
By Susan Rupe In 2024, employers are required to provide health care cost comparison tools to their workers and will face penalties of $100 per day per employee for failing to do so. In addition, employers are now considered to be fiduciaries, responsible for negotiating the best possible health and drug plans regardless of whether they use…
Read MoreThe 2024 compliance wave: What benefits advisors need to know
Over the last two years, a compliance tidal wave has loomed over employers and their benefit advisors. The crest of this massive wave has begun to touch down upon fiduciaries of employer groups, so how can benefit advisors stay dry? By Mark Galvin Over the last two years, a compliance tidal wave has loomed over employers…
Read MoreJ&J drug pricing lawsuit seeks class action status
By Doug Bailey In what’s being called a “watershed” case for pharmaceutical price transparency and accountability, a lawsuit seeking class action status accuses drug giant Johnson & Johnson of mismanaging its employee benefits program causing huge overpayments for certain drugs. And it is likely a harbinger of what’s to come for employee health plans. The drug…
Read MoreTALON and Covet Health Partner to Empower Patients with Comprehensive Care
TALON, a leader in healthcare price transparency and healthcare consumer navigation solutions, and Covet Health, a pioneer in delivering personalized care solutions, today announced a strategic partnership to empower patients with the information and tools they need to make informed healthcare decisions and access high-quality, affordable care. Through this collaboration, TALON and Covet Health will…
Read MoreTALON Welcomes Pete Jeffries as Executive Vice President & Chief Revenue Officer
TALON, a leading provider of healthcare price transparency and cost-containment, today announced the appointment of Pete Jeffries as its new Chief Revenue Officer (CRO), effective 1/2/2024. In this strategic role, Pete will be responsible for leading the company’s sales and revenue generation efforts, playing a crucial role in empowering healthcare stakeholders with transparent healthcare pricing…
Read MoreTRUE MARKET FORCES Are Being Unleashed In Health Care
After years of fighting for change in a failing healthcare system, we are finally beginning to see results. The Transparency in Coverage Rule (TiC) is the first step in an ongoing process toward a better tomorrow for affordable and accessible healthcare in the United States. Now the long-awaited and final rollout phase of TiC is…
Read MoreThe Federal 80/20 Rule in Healthcare Drives Costs Up
The intent of the Medical Loss Ratio (MLR), also known as the 80/20 Rule, provision under the Affordable Care Act (ACA) was to establish a standard by which to limit profits for health insurers. The rule requires insurers to invest 80% of premium intake into care costs and health improvement measures, with the remaining 20%…
Read MoreBipartisan Price Transparency Reforms Will Improve Outcomes
Our Co-founder, President & CEO Mark Galvin is featured in this Forbes article which highlights the need for continued bipartisan reforms when it comes to transparency in healthcare. The Transparency in Coverage Rule is only the first step towards a system that empowers and educates members leading to a healthier future. Read the full article:…
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