Human Resource Executive’s Post

What does the end of “Chevron deference” mean for employer group health plans? J.D. Piro and Kerri Willis of Aon's Legal Consulting Group, break down the consequences of Loper Bright Enterprises v. Raimondo and what comes next. Listen and subscribe to “The Bar on Healthcare” to learn more: https://aon.io/4c54YDv #BarOnHealthCare #EmployerGroupHealthPlans #Healthcare

Following up on a post from a few months ago, it seems that Johnson & Johnson was just the beginning of companies being sued for allegedly violating their fiduciary duties when managing their group health plans. And it comes as no surprise that other companies are now being targeted as well. What does this mean for companies moving forward? It means that benefit service providers such as brokers, TPAs, etc. need to be re-evaluated and potentially shopped more often than every 5+ years. It's important to ensure that your company is working with trustworthy and reliable providers who prioritize your employees' health and well-being. Stay informed and take proactive steps to protect your business and employees. #fiduciaryresponsibility #employeebenefits #thepowerofwe

In this era of historic labor union victories, how should employers, who cover more than half of all insured Americans through tax-subsidized health benefits, tackle soaring health care costs? In Harvard Business Review, three experts argue the time is ripe for an approach to cost control that involves workers in designing and managing health care benefits. David Blumenthal, M.D., Robert Galvin, M.D., and the Commonwealth Fund’s Lovisa Gustafsson say Taft-Hartley health plans, which arose out of collective bargaining, are a model to emulate for building greater employee engagement and trust and for maintaining the viability of “the unique American reliance on employer-sponsored insurance.” The sustainability of employer-sponsored insurance, the authors say, “may now depend as never before on the ability of employers and employees to collaborate in reforming the American health care system.”

This provides nice insight into why what we do for 32BJ Health Fund participants is such a powerful model.

The latest ruling on ACA preventive care mandates presents a mixed outcome. While Judge O’Connor’s decision questions aspects of the mandate, it's critical to understand its implications for employers and benefits plans. Staying informed and proactive on compliance issues is more essential than ever. Dive deeper into this evolving legal landscape to ensure your organization's benefits strategy remains robust and compliant. #Healthcare #ACALitigation #EmployeeBenefits

Johnson & Johnson was just sued (as an employer) for breaching its fiduciary duties and mismanaging their group health plan. Specifically, the suit accuses J&J of mismanaging its employees’ drug benefits, resulting in employees significantly overpaying for certain drugs. I am confident this will not be the last of its kind. Read the below for insight on the following: - Background and Overview of the situation - Employer's fiduciary duties and associated risks - How employers can avoid these situations themselves Reach out with any questions!

Attention Self-Funded Benefits Professionals: The recent fiduciary lawsuit against Johnson & Johnson highlights the importance of managing health plan costs effectively, particularly in pharmacy benefits and plan spending. Employers and benefits professionals have fiduciary responsibilities to self-funded plans, and ignoring these responsibilities can lead to significant financial risks and harm to plan members. Johnson & Johnson's health plan is facing scrutiny for allowing excessive pharmaceutical costs and failing to control their pharmacy benefit manager (PBM), resulting in millions in unnecessary expenses. This lawsuit underscores the critical need for companies with self-funded plans to oversee their healthcare spend diligently. At Reinvent Healthcare, we specialize in health plan contract review, medical & worker's compensation claims integrity, and pharmaceutical spend reduction, ensuring cost efficiency and transparency. By assessing your pharmaceutical costs, PBM contracts, and claims integrity, we help protect both your employees and your company's financial stability. Don't wait until it's too late—book a meeting today to learn how we guarantee self-funded health plan cost reduction and savings. #SelfFundedPlans #HealthPlanAudit #CostContainment #PharmacyBenefitManagement #ClaimsIntegrity

Enjoyed testifying yesterday with Wyatt Bosworth in support of An Act Creating Employee Health Benefit Consortiums here in Connecticut. CBIA has championed the interests of employers in Connecticut for decades and its brand represents trust and credibility. Small and middle market employers struggle to find affordable, high quality health coverage and options for their employees and this proposal supports a means for giving those employers market leverage, size and scope to contract with providers, health systems and other health services vendors like big companies do. Further, it gives these employers the opportunity to spread risk over a larger population and to reduce fixed costs in their plans. Most importantly, the act specifically commits to using value based healthcare contracts and VBID to design plans that optimize superior access to care and superior predictable outcomes. There are many providers and systems moving to value based arrangements and the opportunity is now to take advantage of these on behalf of plan members. Thrilled to see the overwhelming support for this bill from employers and coalitions statewide. Small group employers and employees deserve benefits that are comparable to those delivered by larger employers. This is a win/win for those employers and for the state as these employers play a critical role in overall economic development. #employers #connecticut #valuebasedhealthcare #valuebasedcare #healthcarecosts #healthcareleadership #healthcaretransformation #hospitals #employers #employeebenefits #trust #healthcarequality Christine Arnold Steve Schutzer, MD Lisa Trumble John Rodis, MD, MBA, FACHE, CPHQ Moving to Value Alliance Paul Grady Jay Kimmel Victoria Veltri

Health Plan Coverage Reporting on Form W-2 As employers start the process of preparing W-2 data, remember that the Affordable Care Act requires some employers to inform employees about the cost of employer-sponsored group health plan coverage. The aggregate value to employees of coverage must be reported in Box 12, Code DD of employees' Form W-2. Learn more here - https://hubs.ly/Q02gY_Gc0

ERIC and coalition partners are urging Congress to implement meaningful PBM and healthcare legislation. As we navigate through 2025, it is imperative that Congress supports reforms driving competition, transparency, and fair dealing. #HealthcareReform #PBM #EmployerAdvocacy