How do mental health parity laws affect employer costs?
At first glance, mental health parity laws like the Mental Health Parity and Addiction Equity Act (MHPAEA) appear to be a straightforward compliance...
Prior Authorization
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At first glance, mental health parity laws like the Mental Health Parity and Addiction Equity Act (MHPAEA) appear to be a straightforward compliance...
Step therapy is one of the most widely used utilization management tools in employer-sponsored pharmacy benefits, and its impact on employer healthcare...
Prior authorization (PA) is a utilization management tool designed to ensure medical services are clinically appropriate and cost‑effective. For employers,...
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...
You've done the hard work. You've benchmarked your TPA fees, audited your PBM contract, and reviewed your stop-loss policy. Your fiduciary checklist is...
You’ve done the fiduciary training. You’ve reviewed the investment menu. You’ve filed Form 5500 on time. You’re compliant, right? Not so fast. There’s a...
Prescription drug costs are one of the fastest-growing and most significant components of employer healthcare spending, often accounting for 20% to 25% of...
Let me paint a picture you might recognize. You've invested in a slick population health platform. Your diabetes coaching program is live. Your hypertension...
You've seen the slick demos: "AI-powered telehealth saves employees time and money." Symptom checkers, virtual triage, auto-routing to specialists. It all...
You’ve probably seen the trend: more employees asking for a home sleep test through a telehealth app instead of spending a night in a lab. It sounds like...
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