erisa

A person in scrubs is holding a tablet computer that displays a 3D holographic image of a heart. Text on the screen includes medical jargon in Cyrillic and Latin characters. The background appears to be a futuristic medical bay or computer lab.

The Rise of Data Evolution: How the CAA is Redefining Healthcare Decision-Making

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In the ever-evolving landscape of healthcare, access to comprehensive data is a game-changer, offering unparalleled insights into utilization and cost. One significant development in this realm is the transition from traditional data access to the groundbreaking Consolidated Appropriations Act (CAA), ushering in a new era of transparency and accountability.  This is a new frontier. The […]

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Navigating the Complexities of ERISA Compliance and Risk Mitigation

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In recent discussions surrounding our Health Plan Lawsuit Series, where we talk about data analysis, pharmacy benefit management, and actionable strategies for employers and benefit advisors.    We talked about the Employee Retirement Income Security Act (ERISA) compliance and the potential risks associated with fiduciary duties, a myriad of critical points have surfaced. Scott Burt

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The Changing Landscape of Healthcare: Insights from the Health Plan Lawsuit Series

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In recent years, healthcare has witnessed a surge in legal actions, particularly concerning health plan management and fiduciary duties. The Health Plan Lawsuit Series, spearheaded by HPfid, has been instrumental in dissecting landmark events and shedding light on pivotal issues within the healthcare industry.   The healthcare landscape is shaped by a myriad of factors,

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Johnson&Johnson corporate building with greenery behind

The Johnson & Johnson Health Plan Lawsuit: Implications for Employers and Benefit Advisors 

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In recent years, the landscape of healthcare litigation has been evolving, with a particular focus on fiduciary responsibilities and transparency within employer-sponsored health plans. One such prominent case is the Lewandowski versus Johnson & Johnson lawsuit, which sheds light on critical issues surrounding prescription drug benefits. In this comprehensive blog post, we’ll delve into the

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U.S. Capital Building Washington D.C.

What you need to know about the Consolidated Appropriations Act (CAA)

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The Consolidated Appropriations Act (CAA) was passed in 2021 and amends ERISA (Employee Retirement Income Security Act). It contains 90 pages of new rules, law, and legislation that affect employers who offer a health plan to their employees. Employers who offer a health plan are mandated to perform specific administrative, data analytics, and benchmarking processes

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