Stop-Loss Insurance
Stop-Loss Insurance A Shield with Compliance Cracks Stop-Loss insurance protects self-funded health plans from catastrophic claims, but it comes with hidden risks. Employers must navigate these…
Author: Steve Ditto
Steve Ditto is a healthcare executive, author, and advisor with more than 30 years of experience across employer health benefits, PBM contracting, healthcare analytics, digital health, physician performance, and health systems science. He is a Board Advisor to Nautilus Health Institute, a Fellow at the Thomas F. Frist, Jr. College of Medicine, leads Contract X-Ray, and is the author of The Middleman’s Cut and the weekly newsletter of the same name.
Mastering Health Plan Contracts
Mastering Health Plan Contracts Are Your Contracts Hurting Your Plan? Many employers assume their health plan contracts are well drafted. In reality they are often one-sided…
Direct Contracting
Direct Contracting Game-Changer for Cost and Convenience Employers must find new ways to deliver high-quality, cost effective care. One strategy gaining traction is Direct Contracting. Employers…
Managing PBM Costs and Risks
Managing PBM Costs and Risks Key Issues for Plan Sponsors Pharmacy Benefit Managers (PBMs) claim to lower drug costs but often raise them with hidden pricing…
Health Plan Management Risks
Health Plan Management Risks Compliance Failure, Litigation, & Rising Costs Company health plans, often overlooked by boards, now represent a growing legal and financial risk. Just…
The Advocate Adviser
The Advocate Adviser A Crucial Ally For Fiduciary Committees In the complex world of healthcare benefits, an Advocate Adviser is a fiduciary committee’s friend and key…
Who Should Lead The Fiduciary Committee?
Who Should Lead The Fiduciary Committee? Strong Leadership Is Essential Fiduciary committee leadership is about balancing compliance, cost management, and employee well-being—all while navigating complex regulations…
10 New Year’s Resolutions
10 New Year's Resolutions For Health Plan Fiduciaries
The Rise of the Fiduciary Committee
The Rise of the Fiduciary Committee First Retirement Plans & Now Health Plans For over two decades, 401(k) plan litigation has transformed retirement plan management due…
Health Plan Fiduciary 101
Health Plan Fiduciary 101 What’s It Mean To Be A Fiduciary? The Employee Retirement Income Security Act of 1974 (ERISA) is a federal law setting minimum…