Managing routine radiology does not require the administrative burden of prior authorization. Instead, health plans can implement post-service, pre-payment automated management based on clinical guidelines.

The post Managing Routine Radiology: An Opportunity to Control Costs and Improve Care appeared first on MedCity News.

The “One Big Beautiful Bill” would codify Individual Coverage Health Reimbursement Arrangements (ICHRAs) — the personalized insurance model that has transformed how employers offer health benefits — into law as CHOICE Arrangements, or Custom Health Option and Individual Care Expense arrangements.  

The post A Defining Moment for Employer Health Benefits: How the “One Big Beautiful Bill” Could Transform Healthcare for Employers appeared first on MedCity News.

The demands of the industry are constant, but when organizations prioritize the physical, emotional, and professional well-being of their caregivers, they build the foundation for long-term workforce stability.

The post How Healthcare Organizations Can Maintain a Balanced Workforce Amid Staff Shortages and Burnout appeared first on MedCity News.

[Sponsored] To ensure effective cost mitigation, employers can’t wait for the market to adjust — they have to punch first.

The post The Role of Consultants in Tackling Healthcare Expenses appeared first on MedCity News.

Health insurance claims are a growing headache for providers; many say their employers could do more to help them address the daily demands of insurers

The post How Healthcare Employers Can Do More To Help Providers Manage Payer Frustration appeared first on MedCity News.

The number of US employees offered ICHRAs continues to grow. Yet, headwinds – including competition, individual coverage market uncertainty, and complexity – may hamper the ICHRA opportunity. 

The post So What’s the Deal with ICHRA? appeared first on MedCity News.

As healthcare costs continue to rise, three data-driven strategies can help companies reduce the expense of employee health benefits – without sacrificing quality.

The post 3 Ways Companies Can Make Healthcare More Affordable appeared first on MedCity News.

ICHRA is surging in popularity as an option for employer-sponsored insurance to access the individual market, as employers rethink traditional group plans with unpredictable renewal rates and employees seek personalized healthcare. Here’s a closer look at why investors and politicians are eyeing ICHRA.

The post The ICHRA Moment Is Here — Are You Ready for It? appeared first on MedCity News.

[Sponsored] This year, the survey includes new focus areas — ROI reporting, the value of clinical expertise, and evolving expectations around cost and care optimization.

The post Consultants to Self-Insured Employers: Share Your Experience and Perspective in This New Survey appeared first on MedCity News.

For employers to offer effective, accessible and affordable value-based care for their employees, they must address these four components.

The post How Employers Can Leverage Value-Based Care to Drive Retention and Improved Health Outcomes for Employees appeared first on MedCity News.

The time to innovate is now. By embracing transformative solutions, insurers and employers can not only address systemic challenges but also create a future where healthcare is equitable and sustainable.

The post How Health Insurers Are Embracing Technology to Serve Real People appeared first on MedCity News.

Healthcare organizations need to jump in with both feet when it comes to AI, as mitigating risk is quickly becoming an existential business issue. Machine learning has quickly gone from being a nice-to-have to a must-have.

The post Health Plans Can Reduce Costs with a Focus on Rising Risk appeared first on MedCity News.

GLP-1 medications are transforming how we think about chronic disease management and, more importantly, prevention. Ongoing research has found them to be effective in the prevention or treatment of diabetes, heart attacks and strokes, kidney disease, liver disease, sleep apnea, and more.

The post Diabetes Eradication? The New Chronic Condition Care Playbook and How GLP-1s Are Changing the Game appeared first on MedCity News.

If you’re still evaluating benefits the same way you did five years ago, you’re already behind. Here are some ways to get ahead.

The post Six for ‘26: Top Concerns for Benefits Leaders Heading into 2026 Planning appeared first on MedCity News.

By prioritizing digestive health through targeted benefits and workplace policies, employers can help ease the transition back to the office without compromising employee well-being.

The post How RTO Policies Impact Employees’ Routines — And Their Digestive Health appeared first on MedCity News.

When employees feel supported in every aspect of their lives, they bring their full potential to work — creating value that resonates throughout the organization. Here are four ways culture-driven benefits deliver meaningful returns,

The post Culture-Driven Benefits: The Smartest Investment for Retention and Productivity appeared first on MedCity News.

While high-acuity options must remain for those that need stronger interventions, millions more could be benefiting from access to low-acuity or minimal interventions.

The post The Workforce is Suffering from Chronic Back Pain — It’s Time for a New Approach appeared first on MedCity News.

For all the talk about this problem, the industry has struggled to make big headway. But there are solutions — here are a few steps that make a substantial difference.

The post What Healthcare Workers Need Now to Improve Their Wellbeing appeared first on MedCity News.

[Sponsored] Contribute to the 2025 Benefit Consultant Sentiment Index!

The post Help Shape the Future of Healthcare Benefits Strategy appeared first on MedCity News.

Workforce mental health isn’t just an HR issue, it’s also a business imperative. Companies that integrate evidence-based solutions into their benefits reduce medical costs, improve productivity, and retain top talent.

The post The High Price of Treatment Resistant Depression for Employers appeared first on MedCity News.

I asked if I could purchase the brace myself and bring it to the surgery. The answer was an unequivocal no: the health insurer’s contracted rate required me to purchase the brace from the hospital as part of the procedure.

The post A 2,100% Markup: My Battle with a Vastly Overpriced Knee Brace — and U.S. Healthcare appeared first on MedCity News.

Those that fail to adapt their workforce strategies will remain stuck in crisis mode, scrambling to fill shifts and struggling to retain nurses in the face of a nursing shortage. But for those willing to welcome change, the opportunity is immense. 

The post Healthcare’s Workforce Blueprint is Out Of Date. It’s Time For A Change appeared first on MedCity News.

The serial entrepreneur and CEO of Transcarent has dismissed care navigation companies in the past. What led him to buy Accolade, the biggest — though struggling — name in navigation?

The post Is Glen Tullman a Hypocrite or a Victim of the System He Aimed to Disrupt? appeared first on MedCity News.

[Sponsored] In an interview, CEO and Founder Chris Crawford talked about the prescription drug cost challenges employers face and how his business can help them save money.

The post RxSaveCard Wants to Redesign Pharmacy Benefits to Make Prescription Drugs Cheaper for Employers appeared first on MedCity News.

By grounding wellness programs in behavior-change science, employers can empower their people to build healthier, more sustainable habits.

The post Study: Why Quick Fixes Don’t Work in Workplace Wellness appeared first on MedCity News.

Trends in ICHRA adoption, product innovation, and regulatory developments signal that this benefits model isn’t just here to stay — it’s poised to help redefine how we think about employer-sponsored healthcare.

The post 2025 Outlook: Significant Investments in ICHRA Signal Changes Ahead appeared first on MedCity News.

These benefits set employees up with the resources and access to manage their health efficiently and proactively while giving employers financial savings throughout the year.

The post The Benefits Hierarchy of Needs: Why Employers & Payers Should Prioritize Gut Health Benefits appeared first on MedCity News.

[Sponsored] Heather Cox, President of Insights & Empowerment at Zelis, talked about the company’s care coordination tools with MedCity News Reporter Katie Adams.

The post MedCity Pivot Podcast: Putting a Human Touch on Healthcare Navigation and Coordination appeared first on MedCity News.

[Sponsored] In a webinar sponsored by Personify Health, executives from international chemical company Dow and the National Alliance of Healthcare Purchaser Coalitions discussed some of the tough choices companies are making.

The post How Can Self-Insured Employers Identify Ways to Rein in Healthcare Costs? appeared first on MedCity News.

Whether pursuing high-tech solutions, tapping into natural elements, or doubling down on smaller building sizes, the future of healthcare facilities design boils down to improving patient access and nurturing employee retention.

The post Facilities Built for the Future: 3 Healthcare Design Trends Emerging in 2025 and Beyond appeared first on MedCity News.