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How to Wipe Out Fraud and Abuse Under FMLA

The medical certification process is your most potent weapon for combating potential FMLA fraud. But obtaining a certification is only the first fraud-stopping step. Here are 10 more things you can do to keep employees from gaming the FMLA system.

Report: Health benefit costs projected to rise 9.9% this year

The WTW Global Medical Trends Survey found the cost of medical care jumped from 7.4% in 2022 to a record high of 10.7% in 2023. The insurer-reported cost trend for 2024 is projected to increase by an average of 9.9%.

Benefits lexicon: Center of Excellence

Center of Excellence is one of several health-care cost control strategies that has gained currency in recent years.

Family health insurance is no longer affordable through small employers

Workers at small firms—those with fewer than 200 employees—would need to pay $8,334 on average toward the annual premiums for family coverage. But an employee’s share of premiums is often much more expensive—a quarter of covered workers at small firms must pay $12,000 or more annually.

Health insurance coverage of blockbuster meds depends on prescription

Many of your employees may be asking whether blockbuster weight-loss drugs like Ozempic and Wegovy are covered by your health plan. The answer, according to a new survey by the International Foundation of Employee Benefit Plans, probably depends on how the prescription is written.

As pharmaceutical prices soar, manage employee expectations about health-care costs

It’s December, and by now your employees have already selected their preferred health plan for 2024. Chances are, you saw a significant increase in the cost of health insurance premiums. The cost of covering so-called blockbuster specialty drugs likely pushed costs higher.

Health-benefits costs jumped 5.2% in 2023 due to inflation, higher pharma costs

The average per-employee cost of employer-sponsored health insurance rose by 5.2% in 2023 to reach $15,797. That’s a big jump compared to 2022, according to the Mercer consulting firm’s annual National Survey of Employer-Sponsored Health Plans.

Cost of employer-sponsored health insurance rose 7% this year, totaling almost $24K

Amid rising inflation, annual family premiums for employer-sponsored health insurance climbed an average of 7% this year to reach $23,968, a sharp departure from virtually no growth in premiums last year, the 2023 benchmark KFF Employer Health Benefits Survey finds.

Benefits: Employers target health-care costs, mental health as they look toward 2024

More than six out of 10 employers responding to a new Willis Towers Watson survey agree about their primary concerns as they anticipate managing health benefits in 2024.

Brace for higher health-care costs in 2024

What accounts for the predicted increases? One factor may be Food and Drug Administration approval of several blockbuster drugs officially meant to treat diabetes but used off-label to help patients lose weight.