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Large Claims Alarms Are Signaling Healthcare Cost Spikes

Viewpoints from Craig Hasday Regardless of your plan’s size or funding arrangement, prepare yourself. Large claims are coming. According to a QBE report, claims over $200,000 increased by 17% from 2020 to 2021. While it was harder to see through the crystal ball during the COVID-19 years, it is starting to get clearer again. This trend will continue. There are several factors in play. COVID-19 claims are expected to diminish, however, the cost of deferred care is emerging. Circulatory claims are on the rise, but more acutely, the cost of high-cost therapies is expected to …

https://www.epicbrokers.com/insights/large-claims-signaling-healthcare-cost-spikes/

EPIC Welcomes Faby Jauregui

… firm as a Principal within our Employee Benefits team in San Ramon, CA. In her new role, Jauregui will focus on cultivating new client relationships and market solutions through her creative and strong consultative skills. She joins EPIC with 20 years of experience, including most recently as a health and benefits sales professional for Mercer. “We are thrilled to add Faby as the newest member to our growing Northern CA Employee Benefits team,” said Robyn Pawlo, Executive Managing Principal for EPIC’s Northern California Employee Benefits practice. “Faby is well-respected in our industry with a diverse background of employee …

https://www.epicbrokers.com/insights/epic-welcomes-faby-jauregui/

All-Payer Claims Databases: Should Self-Funded Employers Participate?

By now, several self-funded employers have received communications from their third-party administrator (TPA) asking whether they would like to opt-in to participate in a state data collection database, commonly referred to as “All-Payer Claims Databases” (APCD). In some states, laws mandate certain entities submit claims and health plan information to a central state-run database; because of the Employee Retirement Income Security Act (ERISA) preemption, participation is optional for self-funded employers. Below we will explain what an APCD is and if self-funded employers should consider participating. What Is an All-Payer Claims Database? APCDs …

https://www.epicbrokers.com/insights/all-payer-claims-databases/

EPIC Aligns New Leadership for Professional Services Division

The insurance consulting and brokerage firm positions itself for continued success and growth with the next generation of leaders. We’re excited to announce that Kelly Geary has been elevated to Division Leader of Lemme, a professional services Division within EPIC. The promotion aligns with the firm’s long-standing vision and dedication to serving professional services firms. John Wynn, who joined Lemme in 2007 and has successfully led the team for the past three years, will shift his focus to the continued development of the Lemme group’s professional service offerings. The Lemme team will join EPIC’s Financial …

https://www.epicbrokers.com/insights/new-professional-services-division-leadership/

Compliance Matters Newsletter | May 2023

Let our team help you navigate the ever-changing benefits compliance landscape each month. Check out this month’s latest alerts, additional updates, and resources – hot off the press: Employee Benefits Compliance Alerts Court Decision May Impact Preventive Services In March 2023, a Texas District Court issued an opinion in the Affordable Care Act (ACA) preventive services case Braidwood Mgmt. Inc. v. Becerra (Braidwood). The case challenges the Constitutionality of the ACA preventive services mandate. The court vacated ACA preventive services recommended by the United States Preventive Services Task Force (USPSTF) issued after March 23, 2010. The Department of Justice …

https://www.epicbrokers.com/insights/compliance-matters-newsletter-may-2023/

Way to Wellness Newsletter | May 2023

The Health and Mood-Boosting Benefits of Pets There are many ways to encourage mental health for your employees, including company-sponsored services like an employee assistance program (EAP) and broader worksite wellness strategies. But there are some mood-boosting ideas outside the workplace that you can also suggest to employees – including the mental health benefits of pets! Pet owners often find joy and emotional health benefits from the companionship of family pets. Please share the following email and information with your employees about the benefits and mood-boosting effects of life with pets. Copy the Employee-Facing Email Get …

https://www.epicbrokers.com/insights/way-to-wellness-newsletter-may-2023/

Practical Strategies for Containing Pharmacy Costs

Viewpoints from Renee Rayburg The pharmacy benefit management landscape is complex and ever-changing. With many new high-cost trending therapies currently available in addition to those on the horizon, managing costs is challenging for both plan sponsors and patients. Patients want and need access to potentially life-saving treatments while everyone grapples with how to pay for them. And it is not just cell and gene therapy treatments that are costly. With social media expounding the benefits of the newer weight loss drugs, they have become a very hot commodity and a desired treatment. What strategies can plan sponsors …

https://www.epicbrokers.com/insights/practical-strategies-cotaning-pharmacy-costs/

Compliance Matters Newsletter | April 2023

Check out this month’s Compliance Matters newsletter, your one-stop shop for benefits compliance news! The employee benefits landscape is in a state of constant change. Get timely, accurate news regarding impactful legislative changes – and the resulting requirements, exposures and opportunities. Employee Benefits Compliance Alerts National Emergency Will End Sooner than Expected In January, the White House announced the end of the National Emergency (NE) and Public Health Emergency (PHE) would take place on May 11, 2023; however, on March 29, 2023, Congress passed a resolution that ends the National Emergency immediately. Once President Biden signs the resolution it …

https://www.epicbrokers.com/insights/compliance-matters-newsletter-april-2023/