$0 vs. $4,000 Out-of-Pocket For The Same Hysterectomy
Transparent Health Benefits
You don’t have to do a lot of research to understand that healthcare in the U.S. is...complicated. Even the most common procedures can be difficult to procure and pay for, but what if there was a way to make your experience of receiving and paying …
Breaking Free From Hospitals’ Location-Network Chokehold
In real estate, the three things that matter most are: location, location, location. The same goes for healthcare. We don’t often think about it, but where we receive our care makes a huge difference in the level of care we receive and the price we pay. …
Why Building A More Complex Plan May Lead To Better Advocacy
Healthcare should be simple, right? Providers have been pushing this message for years and constantly redesign their plans to make it easier for members to access healthcare. And to a degree, they’ve been successful. At this point, if we have insurance, most of us don’t even …
Cost vs. Quality: Understanding This $100,000 Myth
When it comes to your health, how do you really know you’re getting the highest quality healthcare? Many people tend to believe that the more expensive a product or service, the better it must be -- think cars, restaurants, jewelry, or just about anything really. This …
Rx Patient Assistance Programs Revisited
Employers continue to spend a monumental amount of capital on specialty drugs for their workforce. In fact, specialty drugs were estimated to represent about 50 percent of total Rx spend in 2020, with inflation of about 23 percent from the year before. Despite these prescriptions …
Current Effects of Rebates On Prescription Pricing
Similar to manufacturers of consumer product goods, many drug manufacturers offer rebates to lower the overall cost of the medication they produce. Instead of offering these rebates to employers and health insurers, however, pharmacy benefit managers are often the only ones on the receiving end …
How Traditional Rx Spread Pricing Affects Annual Health Spend
According to Statista, prescription drug expenditure in the United States totaled $358 billion in 2020, up 50% since 2011. Pharmacy Benefit Managers (PBM) work as middlemen for many stakeholders as funds exchange hands within the drug supply chain. However, their pricing methods lack complete transparency …
Expanding Access With Onsite Clinics
Employers of all sizes are considering onsite and near site healthcare as a method to expand access to care, while providing their workforce with the same great quality of care they’re used to. According to the National Business Group on Health, it is estimated that …
Expanding Access With Direct Primary Care
Direct Primary Care, also known as concierge healthcare, has introduced a fresh perspective to the way employers are accustomed to providing care. The model works by directly connecting the patient to the healthcare provider. This effectively cuts out the increasing premiums, claims and overall headaches …
How Telemedicine Can Transform Your Health Benefits For Employers
With the COVID-19 pandemic keeping many employees indoors, telemedicine has emerged as a convenient for employers to expand access to quality healthcare for their workforce. In 2018, a survey by the Business Group on Health revealed that only 52% of employers believed in virtual care …
