## Catch Up On the Latest in Fiduciary Compliance Through Payment Integrity

[**ERISA vs PHSA: Key Differences in Health Plan Compliance and Fiduciary Duties**](https://www.claiminformatics.com/post/navigating-the-maze-erisa-vs-phsa-in-modern-health-plan-regulations)

The 1944 Public Health Service Act covers publicly sponsored health plans by public entities and the federal government. ERISA vs PHSA Health Plan Compliance ERISA vs PHSA health plan compliance  is one of the most common—and most misunderstood—regulatory challenges facing today’s employer-sponsored health plans. Whether you manage benefits for a private employer with a large workforce or a public entity such as a university serving thousands of students and staff, federal re

Dec 17, 20256 min read

[**Pension Predators or Legitimate Oversight? The ERISA Litigation Crisis Is Threatening Your Retirement Plan**](https://www.claiminformatics.com/post/pension-predators-or-legitimate-oversight-the-erisa-litigation-crisis-is-threatening-your-retiremen)

ERISA class-action litigation is accelerating, putting retirement plan sponsors and fiduciaries under unprecedented pressure. Explore how recent court decisions, rising settlements, and proposed legislative reforms impact retirement plans—and what fiduciaries can do now to protect participants, reduce risk, and build a defensible governance framework.

Dec 12, 20253 min read

[**Claim Audit vs. Claim Review: Why Fiduciaries Must Know the Difference For ERISA and CAA Compliance**](https://www.claiminformatics.com/post/claim-audit-vs-claim-review-why-fiduciaries-must-know-the-difference)

The carrier controls claim audits. Claim reviews are fiduciary responsibilities under ERISA. Understand why reviews are crucial for safeguarding plan assets. Audits offer a snapshot of a carrier’s operations. Reviews are your fiduciary duty under ERISA. Fiduciaries must understand the difference to protect plan assets.

Oct 21, 20252 min read

[**Payment Integrity or Revenue Protection?**](https://www.claiminformatics.com/post/payment-integrity-or-revenue-protection)

As renewal season approaches, fiduciaries should carefully review contract terms and challenge “mandatory” payment integrity programs that shift costs back onto plans. If you’re being asked to pay to fix what you’ve already paid for, the time to push back is NOW!

Oct 2, 20252 min read

[**The 401(k) Lesson: Why Compliance Matters in Self-Funded Healthcare**](https://www.claiminformatics.com/post/the-401-k-lesson-why-compliance-matters-in-self-funded-healthcare)

Today, self-funded health plans are entering that same era of scrutiny. Just as 401(k) plan sponsors had to adapt to fiduciary standards, employers offering self-funded healthcare must now comply with ERISA and new mandates under the Consolidated Appropriations Act (CAA 2021). Those who fail to evolve risk legal action, regulatory enforcement, and financial harm to both the plan and its participants.

Sep 30, 20253 min read

[**When 'shared savings' really means shared conflicts and the importance of transparency, independent oversight, and true accountability**](https://www.claiminformatics.com/post/when-shared-savings-really-means-shared-conflicts)

Excited to see Employee Benefit News  highlighting Stephen Carrabba , ClaimInformatics, Inc. , and Jamie Greenleaf, AIF, CBFA, C(k)P,...

Sep 29, 20251 min read

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