May 21, 2026
Advocacy in Action | In Network Status for Inpatient Treatment
Imagine, your child is having severe mental health issues. You can’t help so you have to send them to an inpatient facility to get the help that they need and deserve. Then, the facility claims to be out of network. Claims are being denied and the facility tries to bill you thousands of dollars ...
May 19, 2026
Dear HR Manager | Reducing the Stress of Taking PTO
Dear HR Manager, We’re seeing employees work during vacations or avoid taking PTO altogether because they feel overwhelmed. At the same time, flexible work has blurred the line between being offline and simply working remotely. How can I encourage healthy PTO use for my team? – Supporting an ...
May 12, 2026
Workplace Culture | Rebuilding Connection in a Hybrid Environment
Over the last several years, employers have spent significant time refining hybrid work models, shrinking office spaces, and implementing flexible work policies. Yet many organizations are discovering that workplace flexibility alone does not automatically create strong workplace culture. In ...
May 11, 2026
Compliance Brief | May 2026
A New Era of Health and Welfare Fiduciary Litigation Health and welfare plan fiduciaries are entering a period of increased legal scrutiny. For many years, fiduciary litigation under the Employee Retirement Income Security Act of 1974 (ERISA) focused primarily on retirement plans, and ...
May 5, 2026
Employee Benefits | Redesigning Benefits for a Multigenerational Workforce
For the first time in history, many employers are managing a workforce that spans five generations—from employees just entering the workforce to those delaying retirement well into their sixties and seventies. While this diversity can strengthen organizations through broader perspectives and ...
April 24, 2026
Employee Benefits | Rethinking Employee Benefits: From Perks to Strategic Workforce Investments
Employee benefits are entering a new phase, defined less by incremental enhancements and more by fundamental redesign. For many employers, 2026 is shaping up to be a pivotal year where rising healthcare costs, shifting workforce expectations, and increased scrutiny on ROI are converging. The ...
April 23, 2026
Advocacy in Action | Preventative vs. Diagnostic Claims
A member contacted her Patient Advocate to find out why she was being billed $753.00 for her routine preventative colonoscopy. This was the first time she had ever had a colonoscopy and her doctor told her it was a preventative test. She told her Patient Advocate she had just lost her mother ...
April 21, 2026
Dear HR Manager | Navigating Flexibility Without Creating Inequity
Dear HR Manager, We’ve embraced a flexible, hybrid work model over the past few years, but we’re starting to see inconsistencies across teams. Some managers allow significant flexibility, while others require more in-office time. Employees are raising concerns about fairness. How can we ...
April 15, 2026
Frequently Asked Questions about the Patient-Centered Outcomes Research Institute (PCORI) Fee
Updated April 2026 Q1: To what plans does the PCORI fee apply? A1: All plans that provide medical coverage to employees owe this fee. Medical coverage includes preferred provider (PPO) plans, health maintenance organization (HMO) plans, point-of-service (POS) plans, high deductible health ...
April 14, 2026
Workplace Culture | Turning Workplace Values into Everyday Behaviors
Company culture has always been a defining element of organizational identity, but in today’s environment, it is also under greater scrutiny. As hybrid work models persist and employee expectations continue to evolve, many organizations are discovering a disconnect between the culture they ...
