PBM Consulting | Health Benefits
TrumpRx: Will it impact Rx benefit plans?
The current administration is looking to make many popular drugs more accessible. Could these efforts impact your pharmacy benefit plan?
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The current administration is looking to make many popular drugs more accessible. Could these efforts impact your pharmacy benefit plan?
Read moreJim Whelpley will speak on public sector OPEB strategies and valuation issues at the virtual Conference of Consulting Actuaries on May 9.
Read moreLower-cost oral GLP-1 weight loss drugs are changing the conversation around coverage for self-funded health plans. This insight examines the clinical benefits, financial considerations, and long-term challenges plan sponsors should evaluate before making coverage decisions.
Read moreA recent healthcare transparency study reveals wide disparities in hospital prices paid by private health plans across the U.S.—with private payers often paying much more that Medicare.
Read moreMental health challenges are increasingly affecting both participants and health plans, driving higher healthcare costs, missed work, and reduced productivity. This insight explores how Trusts can better support mental health through accessible plan design, early intervention resources, and ongoing communication that encourages participants to seek help before reaching a crisis point.
Read moreResearch shows that health care utilization—not just high prices—is the main driver of spending variation across U.S. counties. Learn how plan sponsors can address both cost and volume to improve value, and why local patterns matter more than ever.
Read moreParticipants can't benefit from information they never receive. Learn how a multi-channel communication strategy—supported by accurate contact information—helps multiemployer health plans improve engagement, increase awareness of available benefits, and ensure important health information reaches participants when it matters most.
Read moreInterest in psychedelic-assisted therapy is rising, but coverage in multiemployer plans remains rare. Learn how sponsors can evaluate this evolving space—and why communication is key to improving access, safety, and awareness.
Read moreThe No Surprises Act has shifted costly payment disputes to health plans, making the federal IDR process an increasingly important claims management issue. Learn how evolving rules affect plan sponsors and what questions to ask to help manage costs and oversight.
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