Legal Doesn’t Mean Ethical
Legal Doesn’t Mean Ethical Fiduciaries Should Know the Difference Executive Brief Let’s say the quiet part out loud:Rebates take money from sick employees and help discount…
Category: Ethics & Accountability
Conflicts of interest, ethical responsibilities, vendor accountability, and decisions made in the best interests of plan participants.
Whose Money Is It, Really?
Whose Money Is It, Really? The Rebate Dilemma Why fiduciaries must confront the conflict no one talks about Executive Brief It's Not About Percentages. It’s About…
The Rebate Trap
The Rebate Trap Why Employers Won’t Let Go And Why Fiduciaries May Not Have a Choice Much Longer Executive Brief Rebates have become the duct tape…
Twelve Steps of Fiduciary Recovery
Twelve Steps of Fiduciary Recovery Breaking Free From PBM Dependency Executive Brief Fiduciaries Anonymous is now in session. The first step to fixing your health plan?…
The Most Important Call Your CEO Hasn’t Taken Yet
The Most Important Call Your CEO Hasn’t Taken Yet Mark Cuban Is Ready to Dial In—Literally Executive Brief Why This Message Needs to Reach the C-Suite…
When Fiduciary Duty Clashes With Civic Duty
When Fiduciary Duty Clashes With Civic Duty Should CEOs Join The Board Of A Hospital? Executive Brief You can’t serve two masters—especially when one sends your…
The Death of Common Sense
When Five-Figure Pills Deliver Three-Week Benefits, Fiduciaries Must Intervene
What I Learned from 25 Newsletters
What I Learned from 25 Newsletters And a Lot of Lawsuits Executive Brief Welcome to Issue #26 of The Health Plan Compliance Advantage. Most newsletters don’t…
Employers Say They Put People First
Employers Say They Put People First Until Someone Gets Sick When that spreadsheet-driven plan design causes delays, denials, or dropped coverage, it’s not just a bad…
Why Companies Stick With Bad Vendors
Why Companies Stick With Bad Vendors The Psychology of Loyalty and the Legal Risk of Doing Nothing You’ve seen the headlines: lawsuits, subpoenas, FTC crackdowns. PBMs,…