BenefitsDNA

At BenefitsDNA, we scare away conflicts and slash high costs like a vampire slays garlic! 🧛♂️🩸 Honest advice, leading-edge solutions—no skeletons in our closet. Happy Halloween!

The Consolidated Appropriations Act brings new tools and transparency, making it easier for health plan sponsors to fulfill their fiduciary duties, which have long been in place but often unenforced under ERISA. Now, every sponsor, regardless of plan size or funding, must ensure they’re acting as effective fiduciaries. #WeFixYourHealthcare #FiduciaryDuty #HealthPlans #ERISA #Transparency

Litigation is on the rise as we face discrepancies in healthcare claims data. From crafty practices to big names like Anthem and Aetna, issues like misaligned prices and lack of transparency are being uncovered. Union plans, like the Bricklayers in Connecticut, are leading lawsuits to access data, while major lawsuits like Kraft Heinz vs. Aetna highlight millions in wrongful claim payments. Auto adjudication of claims might be efficient, but is it accurate? Big questions for plan sponsors. #HealthcareTransparency #Litigation #ClaimsData #HealthcareReform #BenefitsDNA #WeFixYourHealthCare

🧬 Subscribe to the Double Helix Newsletter and stay informed on all the latest in healthcare benefits and wellness. Don’t miss out—join the BenefitsDNA community today! https://buff.ly/3viLoRp #Genetics #HealthInsights #DoubleHelixNewsletter #BenefitsDNA #wefixyourhealthcare

We are driven by the results we achieve for our clients. Our expertise and innovative solutions are focused on delivering measurable outcomes that make healthcare more accessible, affordable, and understandable. We take pride in our ability to fix healthcare, one client, one member, and one partnership at a time, ensuring that every solution is tailored to produce the best possible results. #ClientFirst #ExcellenceInService #BenefitsDNA #WeFixYourHealthCare

Happy early Birthday to the amazing Marissa Murray! 🎉 Your dedication, positivity, and awesomeness light up every room. Here's to another year of making magic happen—enjoy your special day! 🎂✨ #HappyBirthday #YouRock

Healthcare contracts are often weaponized, limiting access to crucial cost and quality data. With new Department of Labor gag clause regulations, plan sponsors must now remove these restrictive clauses. But beware—many vendors still include them in contracts, waiving fiduciary duty. It's vital to read the fine print and ensure your plan's best interest. Need help? We’re here for you. As Reagan said, 'Trust, but verify.' #HealthcareContracts #GagClause #PlanSponsors #FiduciaryResponsibility #HealthcareTransparency #ContractReview #TrustButVerify #WeFixYourHealthCare

The lawsuit involving Douglas County and Aetna highlights the critical need for county governments to thoroughly oversee their Pharmacy Benefit Manager (PBM) contracts and overall health plan administration. Complex issues like withheld rebates, non-transparent pricing, and complicated billing practices between health plan administrators and hospitals can lead to significant financial losses and legal liabilities. The conflict between stop-loss insurers, plan administrators, carrier networks, and hospitals adds another layer of complexity and risk. Misaligned incentives and non-transparent practices within these relationships can lead to inflated claims, disputes over coverage, and increased costs, all of which further burden the health plan and its sponsors. By proactively auditing and monitoring these relationships, counties can protect their financial interests, ensure compliance with legal and contractual obligations, and uphold their fiduciary responsibilities to employees and taxpayers.  I anticipate more and more non-federal government health plans following suit. Read the full article below: https://buff.ly/4e8v6iL

Throwback Thursday! 🕰️ Let's revisit the importance of transparency in compensation. 💼 Did you know that indirect compensation—like bonuses, trips, or tickets—needs to be disclosed? These perks might come from third-party vendors and can impact decision-making. As a fiduciary, it's crucial to report all forms of compensation to avoid conflicts of interest and ensure the best outcomes for clients. Keep it transparent, keep it fair! 🌟 #ThrowbackThursday #BenefitsDNA #TransparencyMatters #WeFixYourHealthCare

🧬 Sign up for ‘The Double Helix’ newsletter from BenefitsDNA and get exclusive tips, and updates delivered straight to your inbox every month: https://buff.ly/3viLoRp #DoubleHelixNewsletter #BenefitsDNA #StayInformed #ExclusiveTips #SignUpNow #WeFixYourHealthCare