What is the role of pharmacy benefit managers in employer drug costs?
Pharmacy benefit managers (PBMs) are the often-unseen architects behind your employees’ prescription drug coverage. They sit between employers, health...
Benefits strategy is where cost control, recruiting, and employee trust all collide. These posts cover how employers structure plans, what actually moves the renewal number, and where traditional programs quietly leak money. Written for the people who own the budget and have to answer for it.
1,027 posts
Pharmacy benefit managers (PBMs) are the often-unseen architects behind your employees’ prescription drug coverage. They sit between employers, health...
A colleague of mine spent the better part of a year designing a value-based insurance plan that would have made any actuary weep with joy. Zero-dollar...
Every year, a benefits team somewhere sits around a table, opens a thick actuarial report, and tries to divine the future from claims that are already 18...
Every year, I watch benefits teams chase the latest shiny object-a new point solution, a rebate tweak, a wellness challenge that promises to get people...
Tucked inside every employer health plan’s claims warehouse is a damning report nobody runs. Open a folder of last year’s professional claims, lay it beside...
When most employers think about the soaring cost of healthcare, they focus on big-ticket items: hospital stays, specialty drugs, and rising physician fees....
Employer healthcare costs aren't just a line item on a CFO's spreadsheet-they are a pivotal lever in the competition for top talent. When a company’s health...
A 900-life employer I worked with recently learned a lesson the hard way - to the tune of $105,000. An employee's dependent needed a complex spinal fusion....
I sat in a client’s quarterly review not long ago, watching their broker point to a slide that read “58% average network discount-well above benchmark.”...
Everyone loves the idea of a stop loss captive. You grab a handful of sharp employers, pool your stop loss risk, and finally get off the fully insured...
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