Controlling Medical Benefit Drug Spending
Employers target PBMs to curb drug costs but often miss a big issue—specialty J-code drugs billed under medical benefits
Category: Benefits
Employer health plan strategy, benefits design, healthcare spending, and outcomes for employees and their families.
Mental Health Benefits
Adequate mental health benefits are a fiduciary responsibility and growing legal risk for employer health plans.
Smart Shopping for Healthcare
Smart Shopping for Healthcare The Employer’s Role in Price Transparency Imagine running a business where employees make purchasing decisions without knowing the cost—only to find out…
Direct Contracting
Direct Contracting Game-Changer for Cost and Convenience Employers must find new ways to deliver high-quality, cost effective care. One strategy gaining traction is Direct Contracting. Employers…
The Advocate Adviser
The Advocate Adviser A Crucial Ally For Fiduciary Committees In the complex world of healthcare benefits, an Advocate Adviser is a fiduciary committee’s friend and key…
10 New Year’s Resolutions
10 New Year's Resolutions For Health Plan Fiduciaries
“Seething Public Discontent”
"Seething Public Discontent" A Catalyst For Action Although this newsletter has been in the works for months, I rewrote the intro to this inaugural issue in…