"A recent federal court ruling ... quietly affirms that once a plan adopts a reasonable and consistent reimbursement methodology, fiduciaries may not just be allowed to decline provider negotiation -- they may be required to do so in order to protect plan assets and ensure uniformity across participants. That is, if your plan language is clear and your pricing structure is objectively defensible, engaging in post-claim negotiation may actually expose you to fiduciary risk." [Mejia v. Credence Mgmt. Solutions, No. 23-2028 (C.D. Calif. Apr. 21, 2025)]   MORE >>