Goodroot

Heading to Round Rock this month for the Texas Association of Benefit Administrators Spring Conference 2025? If you're a healthcare administrator, make sure to connect with us! The future of healthcare administration is unfolding, and the pressure is on to deliver more with less—while keeping up with new regulations, member frustrations, and employer demands. Let’s make it easier. We build solutions for the teams in the trenches of healthcare. Because outdated tech has hurt your margins, your members, and your growth—for too long. We help TPAs: ✅ Boost Profitability – Reduce costs and maximize efficiency. ✅ Elevate Member Support – Drive engagement with seamless, self-serve experiences. ✅ Stay Compliant – Automate processes to meet new regulations. ✅ Future-Proof Your Tech – AI-driven, intelligent tech built for YOUR success. ✅ Optimize Pharmacy Benefits – Cut costs without sacrificing care. Don’t just keep up—lead the way. Connect with us at TABA or reach out to Connor Rosenbaum right here on LinkedIn to learn how we can streamline your success—no matter what the industry throws at you. #TABA2025 #HealthcareInnovation #TPASolutions #TPA

Plans that prioritize reconciliation and validation don’t just comply—they compete. In today's episode of Regulatory Joe, Joe Boyle walks through how health plans can get ahead of 2026 templates, avoid downstream chaos, and layer in strategy after locking down compliance. From CMS-required changes to MPMS migration and version control—this is your guide to getting it right before submission season hits full speed. Watch the episode and read our insights below. 👇 (Or tune in wherever you listen to podcasts!) #HealthPlan #HealthInsurance #ACA #RegulatoryJoe

Penstock is honored to be named the No. 1 Fastest-Growing Company in the Northeast by Inc. Magazine! 🏆 This recognition isn’t just about growth—it’s about impact. Health plans rely on us to solve real challenges, from recovering lost dollars to navigating regulatory filings without roadblocks. By eliminating inefficiencies and strengthening compliance, we’re helping clients stay ahead in an evolving industry. To everyone who has been part of this journey, especially our incredible team—thank you. We’re just getting started. #IncRegionals #HealthPlans #RegulatoryFiling #PaymentIntegrity Steve Palma Michael Waterbury Joe Boyle Jeffrey Snyder, AHFI

Change is imminent. The real question is: is your plan ready to lead through it? ICHRA adoption is up 30%. Transparency mandates are gaining momentum. Employers are walking away from traditional insurance. And members? They’re frustrated, confused, and losing trust. In Healthcare Business Today, Empara CXO Ben Callaghan explores what this disruption means for health plans—and how AI-enabled platforms can reduce administrative strain, scale member support and help restore trust before it’s too late. If you’re rethinking your technology, operations or engagement model, this one’s for you. 👉 Read the full article: https://lnkd.in/e2xnv9py #HealthPlans #HealthInsurance #AIinHealthcare #BenefitsTech

SB 11 threatens to dismantle one of the only healthcare cost-control tools small and mid-sized businesses have left. Self-funded health plans have given Connecticut businesses the power to build better benefits, control costs and break free from the opaque, high-cost traditional insurance market. Now, SB 11 would force many of them back into that system—stripping away control, transparency and affordability. Instead of supporting what works, this bill burdens employers with a blanket aggregate attachment point of $250,000 for all businesses offering self-funded health plans. That means every self-funded employer, regardless of size, would be forced to cover the first $250,000 in medical claims out-of-pocket before their stop-loss insurance starts paying. This isn’t reform. It’s a massive step backward. Goodroot CEO Michael Waterbury breaks down exactly what’s at stake—and who really stands to benefit from this reckless legislation—today in the Hartford Business Journal: https://lnkd.in/eamgKZPP #SelfFunding #Healthcare #EmployeeBenefits #CTBiz

A hospital bill shouldn’t be a life sentence. But when members face limited coverage and overwhelming costs, it often feels like one. For benefits professionals, the challenge isn't just offering coverage—it's ensuring members can navigate the costs that remain. That’s where BillAssist comes in. We help lower high-cost medical bills by navigating everything from hospital financial assistance programs to bill review and negotiation. Swipe through to see how one member’s $43,868 bill was reduced to $0. #EmployeeBenefits #BenefitsStrategy #HealthPlanManagement #HealthcareSavings #TPA

What do fiduciary oversight and new FDA drug approvals have in common? They’re both reshaping how pharmacy benefits are being managed—and how decisions are being scrutinized. In this month’s Navion Insights, we’re helping leaders make sense of what’s changing and where to focus next. Get the scoop below! ⬇️ #PharmacyBenefits #EmployeeBenefits #BenefitsManagement #FDA

Yesterday’s American Heart Association Go Red for Women Luncheon was nothing short of inspiring. As a member of the Executive Leadership Team, I’m incredibly grateful to the hard-working, talented women who brought this event to life. A special thank you to Goodroot for sponsoring this vital cause and supporting the amazing work the AHA does for women’s heart health. The event was filled with powerful stories from speakers who shared their personal journeys – some that brought us to tears and others that reminded us of the strength and resilience of women. I walked away with key takeaways that resonate deeply: women need to say "yes" when help is offered (thank you, Caroline Wilke), and we must trust our gut, advocating for ourselves and our health (thank you Andi Campbell). Congratulations to the AHA team, who worked tirelessly behind the scenes to make this event a success. And thank you to my wonderful friends, colleagues and fellow Connecticut Women's Council members who joined me in supporting this cause: Tracy Hains, Jen Rose, Lindsay Loomis, MBA, Carrianne Polo, Judy Casperson, Danielle Tata, Kelly Chapman, Lauren Becker, and Cindy Maurer, SHRM-SCP, MBA. Let’s keep moving forward, supporting each other, and making a difference – together. #GoRedForWomen #AHA #WomensHealth #HeartHealth

A medication shortage. A major move. A moment where expert support mattered. For one client, securing essential medications became a challenge—just as they were relocating to another state. Managing refills, physician coordination, and coverage transitions alone would have been overwhelming. With Emry Concierge’s support, they didn’t have to. Swipe through to see how we ensured seamless medication access despite nationwide supply issues. #LifestyleDesign #LuxuryWellness #HealthcareConcierge #WealthPlanning

Pharmacy rebates are evolving—are you prepared? 💊 With the removal of the AMP cap, manufacturers are adjusting their pricing strategies, impacting how rebates factor into overall drug costs. Some are lowering WAC prices, while others are reworking their market strategies or pulling products entirely. We sat down with Beckie Fenrick, Pharm D, Chief Pharmacy Officer at Navion, to break down what these changes mean, how manufacturers are responding, and what organizations should do to stay ahead. ➡️ Swipe through for expert insights on navigating the rebate shift. #PharmacyBenefits #RebateManagement #BenefitsStrategy #EmployeeBenefits