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Real-World Digitally Based Diabetes Management Program Implementation by a Large Employer

March 4th 2025

This study offers new insights to self-insured employers and health plans related to investment in digitally based disease management programs and enrollee engagement.

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ERISA Industry Committee Sues Minnesota Over PBM Law

January 3rd 2025

AJMC
Prescription Rebate Guarantees: Employer Insights

July 19th 2024

To Expand Access to Cancer Expertise, Collaboration Is Key
To Expand Access to Cancer Expertise, Collaboration Is Key

February 20th 2023

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What We’re Reading: Pediatric Vaccine Schedule Updated; Workplace Toll on Health; Drugmakers Lobby Against IRA Impact

October 21st 2022

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Repercussions and Issues With Healthcare Consumerism
May 20th 2019

Repercussions and Issues With Healthcare Consumerism

Introduction and Defining Healthcare Consumerism
May 20th 2019

Introduction and Defining Healthcare Consumerism

The Average American Now Pays Enough OOP to Meet Their Deductible on May 19
May 17th 2019

The Average American Now Pays Enough OOP to Meet Their Deductible on May 19

Laura Joszt, MA
Deductible Relief Day, the day when enrollees will, on average, have spent enough on healthcare to hit the average deductible in an employer plan, will be May 19 this year, far later in the year than a decade ago when it was March 18.
Prescription Benefits Consultant Sees Opportunities for Employers in Debate Over Rebates
May 13th 2019

Prescription Benefits Consultant Sees Opportunities for Employers in Debate Over Rebates

Mary Caffrey
As pharmaceutical manufacturers and pharmacy benefit managers point fingers over who is responsible for high drug prices, employers have the opportunity to demand change to business as usual, consultant Chris Robbins of Arxcel says.
5 Things to Know About Mental Health Issues and Treatment
May 11th 2019

5 Things to Know About Mental Health Issues and Treatment

Laura Joszt, MA
Mental health disorders are rising in prevalence around the world and will cost the global economy $16 trillion by 2030. Here are 5 things about mental health during Mental Health Month this May.
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May 10th 2019

Addressing Chronic Conditions to Improve Health of Employees and Decrease Costs

Laura Joszt, MA
Programs that address chronic conditions have the potential to improve employee satisfaction, reduce costs, and improve employee health, said speakers at the Midwest Business Group on Health’s 39th Annual Conference, held May 8-9 in Chicago, Illinois.
Private Plans Pay Hospital Prices 241% Higher Than Medicare, RAND Finds
May 9th 2019

Private Plans Pay Hospital Prices 241% Higher Than Medicare, RAND Finds

Laura Joszt, MA
Hospital prices of privately insured patients are more than twice the price that Medicare pays, according to a new report from RAND and supported by the Robert Wood Johnson Foundation, the National Institute for Health Care Reform, the Health Foundation of Greater Indianapolis, and participating employers.
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May 9th 2019

Building Trust, Engaging Employees, and Improving Healthcare

Laura Joszt, MA
Trust is crucial when employers are trying to have successful healthcare programs and engage employees to change behaviors, said panelists at the Midwest Business Group on Health’s 39th Annual Conference, held May 8-9 in Chicago, Illinois.
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May 9th 2019

Learning From Other Countries and Dispelling Myths of a Single-Payer System

Laura Joszt, MA
As the United States debates the feasibility and benefits or harms of a single-payer system, the important thing is to have a fact-based discussion and to ask questions, Jan Berger, MD, JD, chief executive officer of Health Intelligence Partners and medical director of the Midwest Business Group on Health (MBGH), said during a session at MBGH’s 39th Annual Conference, held May 8-9 in Chicago, Illinois.
Willis Towers Watson Report: Employers Aim to Provide High-Quality Care at Affordable Prices
May 8th 2019

Willis Towers Watson Report: Employers Aim to Provide High-Quality Care at Affordable Prices

Wallace Stephens
According to Willis Towers Watson’s Health Care Access and Delivery Survey, a growing number of employers have implemented new strategies to provide their employees with increased access to high-quality, convenient, and affordable healthcare.
High Satisfaction With Employer Coverage, but Financial Challenges Persist
May 3rd 2019

High Satisfaction With Employer Coverage, but Financial Challenges Persist

Laura Joszt, MA
While most people with employer-sponsored insurance were satisfied with their coverage and used positive words to describe their health plan, people with low incomes, chronic conditions, or high deductibles faced healthcare affordability challenges.
Numerof Report: Population Health Is Inevitable, but Initiatives Have Stalled
April 10th 2019

Numerof Report: Population Health Is Inevitable, but Initiatives Have Stalled

Wallace Stephens
The fourth annual Numerof Survey Report outlined the evolution of population health management in the United States. The report found that while the population health management has been gaining momentum, initiatives toward adopting risk-based models have stalled.
Lost Productivity From Heart Attack, Stroke Are Twice Direct Medical Costs, Study Finds
April 9th 2019

Lost Productivity From Heart Attack, Stroke Are Twice Direct Medical Costs, Study Finds

Mary Caffrey
The results come as US professional societies are updating primary prevention guidelines in cardiology.
Dave Fried Discusses Benefit Design and Rising Healthcare Costs
April 6th 2019

Dave Fried Discusses Benefit Design and Rising Healthcare Costs

Employees have seen their healthcare costs rise about as much as they can, and the employers have also taken on about as much burden as they can, so now they’re looking at things that they can do and strategies that they can take to make sure that they’re providing the right benefits to the right people, says Dave Fried, chief executive officer of Tricore Human Capital Management.
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April 5th 2019

Strategies for Fighting Consolidation in Community Oncology

Mary Caffrey
At the Community Oncology Alliance's 2019 Community Oncology Conference in Orlando, Florida, a panel discussed strategies for practices to collaborate and survive the recent wave of consolidation. Targeting employers is one solution.
AHIP, Employer Groups Seek Congressional Action on Surprise Medical Bills
March 19th 2019

AHIP, Employer Groups Seek Congressional Action on Surprise Medical Bills

Allison Inserro
America’s Health Insurance Plans (AHIP) and 16 other organizations sent recommendations to Congress this week that they said will protect Americans from surprise medical bills.
Specialty Drugs Remain a Costly Concern for Employers With No Easy Answers
March 9th 2019

Specialty Drugs Remain a Costly Concern for Employers With No Easy Answers

Laura Joszt, MA
Costs remain the top concern of healthcare purchasers of pharmacy benefits, but employers are also concerned with ensuring appropriate use of medication and adherence to medication, according to a new report from the Pharmacy Benefit Management Institute (PBMI).
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March 7th 2019

GPBCH 2018 Annual Report

The Greater Philadelphia Business Coalition on Health (GPBCH) seeks to increase the value of health benefit spending for its employer members by improving workforce and community health, increasing healthcare quality and safety, and reducing health care costs. Here is a summary of GPBCH's activities in 2018.
5 Ways Employers Are Addressing Healthcare
February 22nd 2019

5 Ways Employers Are Addressing Healthcare

Laura Joszt, MA
Employers are placing an increased focus on healthcare benefits and integrating or expanding healthcare offerings. With healthcare costs rising, employers are focusing not only on health plans but also on ways to improve employee experience with healthcare.
NSAIDs Surpass Opioids as Top Drug Class Prescribed in California's Workers Comp System
February 19th 2019

NSAIDs Surpass Opioids as Top Drug Class Prescribed in California's Workers Comp System

Allison Inserro
Nonsteroidal anti-inflammatories (NSAIDs) have passed opioids as the most common drug group prescribed to injured workers in California, while payment data show that both dermatological medications and anticonvulsants now rank ahead of opioids in terms of total reimbursements, according to a report examining trends between 2009 and 2018.
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February 12th 2019

Employers Are Aware of Reference-Based Pricing Potential but Haven't Crossed Over to Adoption, Researchers Report in AJMC® Study

This Trends From the Field article about awareness and adoption of reference-based pricing in The American Journal of Managed Care® comes as the price of medical services is increasingly seen as a driver of the cost of healthcare, even as overall trends level off or stabilize.
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February 12th 2019

Why Aren’t More Employers Implementing Reference-Based Pricing Benefit Design?

Anna D. Sinaiko, PhD, MPP Shehnaz Alidina, SD, MPH Ateev Mehrotra, MD, MPH
This qualitative study finds low employer adoption of reference-based pricing (RBP) benefit design and that redesign of RBP may be necessary to overcome barriers to adoption.
Scott Hewitt Explains Growing Interest in ACOs Among Commercial Payers
January 27th 2019

Scott Hewitt Explains Growing Interest in ACOs Among Commercial Payers

There has been great engagement in accountable care organizations (ACOs) because ACOs offer a level of coordinated care that patients are looking for, explained Scott Hewitt, vice president, payment strategy and innovation, UnitedHealthcare.
Digital Health Promises Remain Unfulfilled for High-Need, High-Cost Populations
January 8th 2019

Digital Health Promises Remain Unfulfilled for High-Need, High-Cost Populations

Allison Inserro
This week, companies are showcasing digital health at conferences in Las Vegas and San Francisco, but when it comes to alleviating disease burden or the cost of care for vulnerable populations, the promise of digital health is not yet fulfilled, according to a study published in Health Affairs.
Health Insurance Cost Burden Increased Sharply in 2017 for Families
December 12th 2018

Health Insurance Cost Burden Increased Sharply in 2017 for Families

Laura Joszt, MA
After growing modestly between 2011 and 2016, the average premium for employer health plans rose sharply in 2017, growing 5.5% from 2016 to 2017 for family plans and 4.4% for single-person plans.
Coalition Agrees on Need to Protect Patients From Surprise Medical Bills
December 10th 2018

Coalition Agrees on Need to Protect Patients From Surprise Medical Bills

Allison Inserro
Nine organizations representing health insurance companies, consumers, and businesses announced Monday that they support the concept of federal legislation to protect patients from receiving surprise medical bills.
Engaging Employees in Health Benefit Design Increases Satisfaction With Coverage Options
November 21st 2018

Engaging Employees in Health Benefit Design Increases Satisfaction With Coverage Options

Jaime Rosenberg
During a case study, employees were more willing to have less robust coverage in areas like dental, vision, and diagnostic benefits so that the group could have access to more comprehensive mental health and maternity services.
Private Sector Innovation Driving Healthcare Transformations
October 19th 2018

Private Sector Innovation Driving Healthcare Transformations

Laura Joszt, MA
An event hosted by the American Enterprise Institute highlighted companies in the private sector that are working on novel ways to transform healthcare and bring better value to patients.
Premiums for Employer-Sponsored Family Insurance Increased 5% in 2018
October 10th 2018

Premiums for Employer-Sponsored Family Insurance Increased 5% in 2018

Jaime Rosenberg
According to the 2018 benchmark Kaiser Family Foundation Employer Health Benefits Survey, annual premiums for family and single coverage have increased in 2018 and the burden of deductibles continues to grow on employees. However, as premiums rise, so does employer investment in health and wellness programs for their employees.
Employers Take a Vested Interest in Healthcare
October 3rd 2018

Employers Take a Vested Interest in Healthcare

Employers may not look forward to purchasing healthcare, but they are in the position to transform the market. More employers are getting more involved in healthcare by championing alternative payment models and other services to their employees.
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