Your IDR Problem Is Bigger Than You Think
Everyone cheered when the No Surprises Act arrived. Patients were finally shielded from those gut-wrenching out-of-network bills after an ER visit or an...
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Everyone cheered when the No Surprises Act arrived. Patients were finally shielded from those gut-wrenching out-of-network bills after an ER visit or an...
I've lost count of the number of times I've watched a benefits team pour six months of energy into a new cost-containment strategy-reference-based pricing,...
Every year I sit across from small business owners as they open a renewal letter that feels like a gut punch. Premiums up 12%. Another 18%. They think it’s...
For years, the pass-through PBM model has been sold as the cure-all for self-funded plans. No more spread pricing. No more hidden revenue streams. Just a...
Every year the spreadsheet shows up. You scan the PEPM column, brace for the usual back-and-forth, and get ready to grind out a dollar or two in savings....
Every year, without fail, your benefits broker shows up with that glossy deck full of bar charts and reassuring percentiles. Your deductible? Sitting pretty...
Everyone loves the idea of a narrow network plan on paper. Lower premiums, tight cost controls, a curated list of high-quality providers. It feels like the...
I’ve lost count of how many benefits conferences I’ve sat through where someone stands up and brags, “Our wellness program hit 72% participation this year.”...
I've sat through dozens of reference-based pricing pitches, and they all sound the same after a while. Medicare multiples, stop-loss triggers, provider...
Meet Maria. She has Type 2 diabetes, hypertension, and works in logistics. Over the past month, she’s received a glossy welcome kit from a disease...
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