Explanation of benefits (EOBs) are a key component in understanding medical costs, but the information overload can be dizzying. To understand the true cost of care and the value of your benefit plan, it’s important to review each EOB carefully to confirm services and charges are accurate.

As with most legislation, the Department of Labor’s (DOL’s) recent overtime threshold regulation comes with a wave of complexities and special rules that employers must navigate. Don’t get tangled up digging for the details. Check out our overtime overview, providing clarity on some of the rule’s most sticky requirements.

While employers should have safeguards in place to prevent workplace misconduct, like written policies and procedures, offenses can still occur. When prevention fails, knowing how to properly identify, address and remediate misconduct cases is essential. 

The Affordable Care Act (ACA) requires health plans to cover certain preventive services at no-cost to enrollees, yet only eight percent of adults aged 35 or older receive all their recommended services. Preventive care is a crucial step to achieving better health outcomes, early disease detection and lower health care costs. Ensure your employees are capitalizing on no-cost options by educating them on the ins and outs of preventive care.

HR managers are the gatekeepers in the recruiting and hiring process and play a key role in supporting the success of a business. Inefficient recruiting can produce a less-than-ideal candidate pool, ill-fitting new hires and a high turnover rate. Interviewing can be an exhausting process for all involved but is an essential part of the recruiting and hiring pipeline. Ensure your recruiting and interviewing procedures run smoothly with these four considerations.

Medical and pharmacy claim audits can typically find errors among 2 to 5 percent of total claims, which can represent significant dollars for self-funded plan sponsors. Comprehensive independent claim audits not only confirm claims are correctly processed, they can also aid in the recovery of over payments, evaluate quality assurance and monitor a third party administrator’s (TPAs) performance. While health claims audits can be conducted at any time, these four circumstances may indicate your plan is due for a check-in.