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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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It’s Time for a Mid-Year Financial Check-Up

Money Talk

Insurance Check-Up - While stocks have trended downward so far in 2022, insurance premiums (homeowners, auto, health, etc.) Among the culprits: climate change, higher costs for labor and supplies to repair houses and cars, and higher out-of-pocket costs for employer-provided health insurance.

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Employers Expect Higher Premiums, Little to No Cost-Shifting

InterWest Insurance Services

Employers who were surveyed for a new report expected that group health insurance premiums would increase 5.4% this year and at a faster clip in 2024 as inflation hits medical costs. With all that in mind, the report advises that employers will have to prepare for higher premium outlays and be creative in how they try to control costs.

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Spring Cleaning with Your Eligible Expenses

Benefit Resource Inc.

While dusting, vacuuming, and packing away winter clothes may be on the top of your spring cleaning list, have you considered reviewing your eligible expenses and utilizing your Flexible Spending Account (FSA)? Utilize resources like BRIWEB , BRIMOBILE , and Participant Services to help you navigate your benefits.

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New Health Plan Prescription Drug Reporting Mandate

AssuredPartners

For fully insured plans, health insurance carriers will be responsible for making the necessary reporting from a legal standpoint. to promote prescription drug pricing transparency and (b) promote competition that can combat the high cost of prescription drugs. Why is there a prescription drug reporting mandate?

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Waiving HDHP Deductibles Has Little Effect on Premiums, Study Says

InterWest Insurance Services

Among HDHP plans that expanded pre-deductible coverage to 116 drug classes used to manage expensive long-term, chronic medical conditions, the cost of these drugs was almost entirely offset by reduced health care utilization. no deductible and no coinsurance), the net impact on premiums was an increase of 4.7%.