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3 Ways to Strengthen Cost Management for Pharmaceutical Benefits

Griffin Benefits

They need to find ways to control spending on these treatments, lest the cost of the drug benefit become prohibitive. Here are three ways to manage the cost of pharmaceutical benefits. Focus on fundamentals for Rx cost savings.

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Insulin Makers Cap Prices for Insured Individuals

InterWest Insurance Services

market, in March 2023 announced that they will cap the cost of insulin for people with private insurance plans. That includes those on employer-sponsored group health plans and plans purchased on a government-run exchange. Out of that population, 8.4 Three drugmakers, which account for roughly 90% of the insulin in the U.S.

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New Insulin Price Cap Could End Up Saving Payers Money in the Long Run

HR Digest

Reducing out-of-pocket cost-sharing for insulin does mean payers and insurers may be covering a greater share of the costs. However, some of those costs may be offset by increased medication adherence and reduced hospitalization rates, which would end up saving payers money in the long run.

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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.". Pharmaceutical Company & State Drug Assistance Programs. Pill-Splitting.

Medical 52
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Injured PA Workers’ Comp Attorney Should Have Been Reimbursed for Cost of Cannabinoid (CBD) Oil Prescription

The Workcomp Writer

Employer Refuses Reimbursement Request When the claimant provided his law firm employer with the CBD oil prescription and receipts for its purchase, the law firm refused to reimburse the claimant’s out-of-pocket CBD oil expenses on the basis that CBD oil was not a pharmaceutical drug. Two commissioners dissented.

Medical 52
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New Transparency Requirements for Health Plans

AssuredPartners

These rules do not apply to pharmaceutical carve-out plans, as they are aimed at transparency in pricing regarding treatment at health care facilities. No Surprises Act provisions Effective January 1, 2022, the No Surprises Act requires the following of self-funded and fully insured health plans as pertains to transparency.