How do employer healthcare costs for rare diseases impact overall plan spending?
Rare diseases do not drive employer healthcare costs through volume. They drive costs through outlier claims that arrive as one patient, one drug, one bill....
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Rare diseases do not drive employer healthcare costs through volume. They drive costs through outlier claims that arrive as one patient, one drug, one bill....
KFF's 2023 Employer Health Benefits Survey found 65% of covered workers are in self-funded plans. Those employers pay claims directly. They buy stop-loss...
Every fall, benefits teams open the benchmark report and compare their employer contribution against a peer group matched by industry, size, and region. If...
There is no fixed statutory price for mental health parity compliance. The cost depends on four factors: how many mental health and substance use disorder...
Pharmacy benefit manager (PBM) transparency determines whether an employer can see what it pays for prescription drugs, how much the PBM keeps, and what a...
Most employers start a direct primary care conversation with the per-member-per-month fee. That is the wrong first question. The fee tells you what access...
US healthcare spending averages about $12,900 per person each year. Employers cover a large share of that bill, and the number keeps climbing while outcomes...
The cost difference comes less from the health savings account (HSA) itself and more from the high-deductible health plan (HDHP) that an HSA requires....
For most self-insured employers, maternity and newborn care lands near the top of the annual claims report. It competes with musculoskeletal care, oncology,...
Most employer health cost strategies share a blind spot. They start after the claim exists. Reference-based pricing renegotiates that claim. Pharmacy...
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