How Rebates Are Driving Up Drug Prices
Transparent Health Benefits
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 you directly, however, pharmacy benefit managers are often the only ones on the receiving end of these …
How PBMs and Spread Pricing Affect Overall Rx 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 to Care 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 nearly …
Expanding Access to Care is Vital in 2021 and Beyond
When looking to exercise health benefits provided by their employers, employees will often ask about the ways in which they’ll be able to access this care. The COVID-19 pandemic has further emphasized the need for this process to be simple and efficient, as it ultimately …
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 …
3 Keys to Unlock Self-Funding for Any Size Employer
Some employers may have held off on self-funding a health plan because they felt they were too small to service and couldn't do it on their own. However, transitioning from a traditional plan to a self-funded plan doesn't have to be a solo process. While …
Debunking Common Self-Funded Insurance Myths
Kaushik Bhatta
If you've heard of self-funded insurance, you may have also heard that it's complicated or only suitable for large companies. There are certainly some pros and cons to consider when deciding if self-funded insurance is right for your business, but what you've heard isn't necessarily …
3 Myths About Self-Funded Insurance
It's commonly said that self-funded insurance is best suited for large firms. There are some inherent benefits to self-funding for larger firms — it's easier to predict costs with more data, and more workers creates a bigger pool to cover risk — but it's by …
How to Build a Self-Funded Health Plan
Some employers may have held off on self-funding a health plan because they felt they were too small to service and couldn't do it on their own. However, transitioning from a traditional plan to a self-funded plan doesn't have to be a solo process. While …
Why Fully Insured Plans Only Benefit Carriers
The fully insured health plan model hasn't been working very well for employers or employees. Premiums keep going up, but benefits stay the same. Carriers have the data to help reduce employers costs — they just don't have the incentive. Fed-up employers are starting to …
