Benefits leaders have become increasingly sophisticated in managing pharmacy spend and high-cost claims. MSK deserves similar strategic attention – not only because it is expensive, but because it is largely preventable.

The post Musculoskeletal Disorders Are Draining Employer Health Budgets — The Workplace Itself May Be the Cause appeared first on MedCity News.

This is forcing brokers to rethink how they serve clients and how their businesses continue to grow without sacrificing service.

The post As Health Costs Hit Record Highs, Brokers Face a Structural Test appeared first on MedCity News.

This is not a debate about care models or physician preferences. It is a contest over who will control the referral pathways and the revenue streams that originate at the front door of healthcare.

The post The Quiet Battle for the Front Door of Healthcare appeared first on MedCity News.

More brokers are introducing medical gap insurance, more employers are adopting it, and more employees are benefiting from the added protection. The next step is making sure awareness keeps pace with need.

The post Medical Gap Insurance Adoption is on the Rise: Closing Coverage and Knowledge Gaps for Employers appeared first on MedCity News.

[Sponsored] In an interview, Jamie Benton, vice president of HR at Rollins, talked about how he led a shift in the company’s health benefits strategy, producing $29 million in savings over a five-year period.

The post Health Plan Transformation: HR Exec Shares How and Why an Employer Changed Its Approach to Healthcare appeared first on MedCity News.

Executives who think ahead and ask the right questions – monthly – can make a real difference in healthcare costs.

The post Employer Health Costs: Amid Continual Increases the Cost of Doing Nothing is Too High appeared first on MedCity News.

[Sponsored] A white paper from Imagine360 explores emerging trends that are reshaping the healthcare landscape and influencing how employers will make health plan decisions in the future.

The post 5 Healthcare Affordability Trends to Track in 2026 and Beyond appeared first on MedCity News.

When tax-advantaged dollars enter a care model, they do more than expand purchasing power. They reorganize incentives, accelerate intermediary involvement, and clarify who holds leverage.

The post When HSA Dollars Enter Direct Primary Care, Control Follows appeared first on MedCity News.

Concierge and direct primary care models have proven their value as retention tools. Those who view these programs as measurable business assets, not ancillary benefits, will lead the next wave of workforce health innovation.

The post From Perk to Infrastructure: How Employers Are Measuring the ROI of Concierge and Direct Primary Care appeared first on MedCity News.

Despite its impact, metabolic health rarely appears on the HR dashboard. That oversight is costing employers more than they realize.

The post Why Metabolic Health Should Be Every Employer’s Next Benefits Priority appeared first on MedCity News.

These two promising changes in national healthcare policy could transform access to care for millions of Americans.  

The post A Moment of Opportunity to Expand Healthcare Access in the US appeared first on MedCity News.

[Sponsored] The impact AI is having on the healthcare experience.

The post Pivot Podcast: How AI Is Reshaping Care Navigation and Patient Outcomes with Shannon Skaggs appeared first on MedCity News.

[Sponsored] The confluence of AI and predictive analytics is rapidly transforming healthcare and benefits management, shifting the focus from reactive automation to proactive anticipation.

The post Turning AI Insights into Meaningful Action: The Future of Healthcare Navigation appeared first on MedCity News.

Here are five guidelines to help employers balance health outcomes and financial responsibility to ensure that GLP-1 coverage is effective, affordable, and aligned with improved health and workforce well-being for employees and their families.

The post How Employers Can Build an Effective GLP-1 Strategy appeared first on MedCity News.

Health plan sponsors have more flexibility and opportunities than before to improve healthcare access and steer their workforce toward high-quality, high-value care.

The post Telehealth Safe Harbor Is A Win-Win For Workers And Employers  appeared first on MedCity News.

Employers have a unique opportunity to shift from reactive to proactive care, in an unprecedented way. By grounding benefits strategies in clinical innovation and time-tested behavior change, healthy aging and enhanced quality of life is more achievable than ever before.

The post The Future Of Chronic Condition Management: Living Better For Longer appeared first on MedCity News.

Too often, the very systems meant to provide flexibility and control are undermined by delayed reimbursements, fragmented data, and a lack of transparency across the ecosystem. Solving this isn’t about tweaking the status quo, it requires a full redesign.

The post Innovative Strategies to Enhance Financial Predictability for Self-Funded Employers appeared first on MedCity News.

Using the ED for non-emergencies costs more than many people’s monthly student loan payments and strains an already fragile system. Employers who bridge knowledge gaps and educate employees in engaging ways can foster a healthier workforce and reduce ED strain.

The post The ER Is Bursting at the Seams — Employers Hold the Key to Change appeared first on MedCity News.

The next chapter in employer-sponsored benefits might very well be defined by who is carrying the risk — and it’s time for employers to face whether they’re financially able or willing to shoulder that responsibility.

The post The Employer’s Dilemma: When the Fully Insured Plan No Longer Works, What’s Next for Employers? appeared first on MedCity News.

Health insurance claims are a growing headache for providers; many say their employers could do more to help them address the daily demands of insurers

The post How Healthcare Employers Can Do More To Help Providers Manage Payer Frustration appeared first on MedCity News.

For employers to offer effective, accessible and affordable value-based care for their employees, they must address these four components.

The post How Employers Can Leverage Value-Based Care to Drive Retention and Improved Health Outcomes for Employees appeared first on MedCity News.

I asked if I could purchase the brace myself and bring it to the surgery. The answer was an unequivocal no: the health insurer’s contracted rate required me to purchase the brace from the hospital as part of the procedure.

The post A 2,100% Markup: My Battle with a Vastly Overpriced Knee Brace — and U.S. Healthcare appeared first on MedCity News.

Trends in ICHRA adoption, product innovation, and regulatory developments signal that this benefits model isn’t just here to stay — it’s poised to help redefine how we think about employer-sponsored healthcare.

The post 2025 Outlook: Significant Investments in ICHRA Signal Changes Ahead appeared first on MedCity News.

[Sponsored] Join us Thursday, October 24, at 1pm ET for a webinar sponsored by Personify Health on how employers navigate the intricate challenges posed by rising healthcare costs while prioritizing employee health and well-being.

The post How Do Employers Address Rising Healthcare Costs? appeared first on MedCity News.

[Sponsored] Don’t miss this opportunity to gain valuable knowledge and practical insights on how employers are addressing an increasingly complex healthcare budget landscape.

The post Battle of the Budget: Employers vs. Rising Healthcare Costs appeared first on MedCity News.

Jim Winkler, Chief Strategy Officer for the Business Group on Health, will share his insights on how the group works with employers to help them stay informed about critical healthcare topics and implementation strategies for their companies at MedCity’s INVEST Digital Health conference in Dallas September 18.

The post Business Group on Health Exec: Role of a Benefits Manager Is Exponentially Harder Than It Was 10 Years Ago appeared first on MedCity News.

[Sponsored] Do you advise self-insured employers? Your insights will offer leading, innovative points of view that can guide employers and peers. Join us for this year’s survey!

The post Share Your Insights on the Changing Healthcare Landscape appeared first on MedCity News.

Here is a list of some of the biggest funding rounds in the payer/employer space that were announced this month.

The post 4 Funding Announcements Made By Payer/Employer Health Tech Startups in March appeared first on MedCity News.

At the MedCity INVEST conference, scheduled for May 21-22 at the Ritz Carlton in Chicago, health benefits in the context of value-based care will be one of several topics of discussion at the boutique healthcare investment event. Register today!

The post In the Era of Value-Based Care, How Are Employer-Provided Health Benefits Evolving? appeared first on MedCity News.

[Sponsored] Do you advise self-insured employers? The 2023 Benefit Consultant Sentiment INDEX offered robust insights and cast a spotlight on the evolving roles of employers as they navigate the changing healthcare landscape. Your insights offer leading, innovative points of view that can guide employers and peers. Join us for this year’s survey!

The post We Need Your Self-Insured Employer Health Benefits Insights for Our Annual Survey appeared first on MedCity News.