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Employers ‘Unwavering’ in Providing Group Health Benefits: Research

InterWest Insurance Services

Large employers are unwavering in their plans to continue offering group health plans to their workers instead of funding individual reimbursement accounts that would allow them to shop for plans on government-run exchanges, according to new research. “It would make workers feel like you were cutting and running.”

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PBMs Feeling the Heat on All Fronts

InterWest Insurance Services

While drugmakers have been assailed for years for increasing their prices and driving the cost of medications higher and higher, there is another player in the health care space that is receiving increased scrutiny: pharmacy benefit managers. PBMs typically contract with both insurers (or self-insured employers) and pharmacies.

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PBMs Feeling the Heat on All Fronts

InterWest Insurance Services

While drugmakers have been assailed for years for increasing their prices and driving the cost of medications higher and higher, there is another player in the health care space that is receiving increased scrutiny: pharmacy benefit managers. PBMs typically contract with both insurers (or self-insured employers) and pharmacies.

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Issue Commentary: PA’s Commonwealth Court Parses Words to Require Employer/Carrier to Pay for Medical Marijuana

The Workcomp Writer

The Fegley Case In September 1977, Sheets sustained an injury during the course and scope of his employment with the employer [Sheets died after he had filed a petition for review with the Commonwealth Court. The employer noted that the WC Act defined a WC carrier as an insurer. Work.Comp.App.Bd. A19-0491 (filed Mar.

Medical 52
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Healthcare Must be Focused on the Patient Journey 

HR Professionals Magazine

As the healthcare landscape has evolved to value-based care, employers, payers and pharmacy benefit managers (PBMs) have implemented new strategies to improve quality of care and affordability. Insulin prices have increased 600 percent over the last 20 years causing many consumers to be at risk of non-adherence due to cost.

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8 Ways Employers and Employees Can Save On Prescription Medications

Griffin Benefits

While these higher deductibles are offset by cheaper monthly medical premiums and often by employer contributions to Health Savings Accounts (HSA), HDHP plans are nevertheless structured in such a way as to promote heightened "healthcare consumerism.". Manufacturer coupons and rebates. Product substitutions. Bulk buying.

Medical 52
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New Transparency Requirements for Health Plans

AssuredPartners

CAA provisions Effective December 27, 2021 and no later than June 1 of each year thereafter, carriers and self-funded plans must submit to the Departments certain information with respect to the plan or coverage for the previous plan year, including with respect to prescription drugs: The 50 most frequently dispensed brand prescription drugs and the (..)