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Research 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 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 moreDrug rebates are meant to lower costs, but limited transparency and misaligned incentives raise questions. Learn how employers can evaluate PBM practices and ensure their plan delivers real value and long-term savings.
Read moreBefore replacing a wellness program or vendor, you might want to check your communications. Even the best programs can face low engagement when there is poor or confusing outreach or issues accessing services.
Read moreThere is a gap between mental health coverage and actual care received. Consider these strategies to provide access to effective, affordable, timely care.
Read moreLearn what the Actuarial Standards of Practice have to say about these controversial topics, and what they mean for a client’s retiree health valuation.
Read moreJim Whelpley will speak on public sector OPEB strategies and valuation issues at the virtual Conference of Consulting Actuaries on May 9.
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 moreWe are excited to welcome Martin Fornataro, Pharm.D., to our PBM Consulting team.
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