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Employers Eye Transparency, Data Access to Confront Rising Health Care Costs

September 9th 2025

Pulse of the Purchaser 2025 survey results showed the use of transparent PBMs more than doubled in just 1 year, from 12% to 31%.

More Employers Offer Preventive Drug Lists Over Time

By Anita K. Wagner, PharmD, DrPH, MPH
Stephanie Argetsinger, MS, MPH

August 18th 2025

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Is the Employer Health Care Tax Exclusion Safe? Kerris Willis Shares Insight From American Benefits Council

By Giuliana Grossi

June 13th 2025

How Employers Can Fight the Price Crisis

By Torie Nugent-Peterson
Ryan Olmstead, MPH

May 5th 2025

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

By Jean M. Abraham, PhD
Teresa Ambroz, MPH, RDN

March 4th 2025

More News

Jeffrey Hogan (left) and AJMC's Matthew Gavidia (right)

February 28th 2021

Jeffrey Hogan Discusses Helping Health Care Payers Create Pandemic Infrastructure

Jeffrey Hogan, Northeast regional manager of the Rogers Benefit Group and member of the Board of Directors for the Connecticut Business Group on Health, discussed how his organization helped providers navigate some of the challenges posed by the pandemic.

February 25th 2021

Financial, Emotional Costs of Taking a Sick Day Rising Amid the Pandemic

Matthew Gavidia

A survey found that 42% of US working adults were more stressed or anxious in the past year about taking a sick day to care for themselves or someone else compared with years past, with 1 sick day currently associated with a $227 earnings loss.

February 21st 2021

Denise Giambalvo on Upcoming Discussions at MBGH’s Behavioral Health Program

The Midwest Business Group on Health's program this week on behavioral health will explore strategies that employers have implemented to address rising anxiety and financial stressors in the workforce amid the coronavirus disease 2019 pandemic.

February 18th 2021

Supporting COVID-19 Vaccination Efforts: Advice for Employers

Matthew Gavidia

An article by Willis Towers Watson discusses how employers are supporting their respective workforce amid the pandemic, with education of approved vaccines and effective communication channels with state and local health departments referenced as key actions to be taken at this time.

February 14th 2021

Assessing Health Care Policy Reform at the Federal and State Levels

In addition to coronavirus disease 2019, several other factors will play a major role in health care policy reform for federal and state-level health officials this year, including the transition to value-based care and containment of high health care costs.

February 11th 2021

Humana, IBM Watson Health Collaborate to Improve Health Benefit Transparency

Matthew Gavidia

Humana and IBM Watson Health collaboration to streamline access to accurate information on benefits and health care costs for Humana employer group members, agents, and employers.

February 7th 2021

Examining Initiatives Addressing Mental Health, Care Disparities in Underserved Communities

Several initiatives help to provide free clinical research and education to promote diversity and inclusion in clinical trials, as well as to spotlight and destigmatize mental health issues, noted Angela Colon-Mahoney, MS, Otsuka America Pharmaceutical Inc.

February 4th 2021

Employer Health Centers Expand Virtual Care Services Amid Pandemic

Matthew Gavidia

A survey by Willis Towers Watson found that nearly half of employer onsite and near-site health centers expanded virtual care services during the coronavirus disease 2019 pandemic, including in chronic condition management and behavioral health.

Percival Barretto-Ko, president of Astellas Pharma

January 31st 2021

How Diversity and Inclusion Initiatives Can Improve Patient Inequities, Workforce Culture

Through an organizational commitment to diversity and inclusion initiatives, the biopharmaceutical industry can better serve historically underserved populations and cultivate a more diverse workforce and inclusive culture.

January 30th 2021

More Americans Choosing Medicare Advantage Plans Amid Pandemic

Matthew Gavidia

A 9% year-over-year increase was observed in the number of US Medicare beneficiaries who enrolled in a Medicare Advantage health plan in 2020, with the increase in enrollment influenced by the coronavirus disease 2019 pandemic and its related effects.

Gurpreet Singh, US Health Services Leader at PwC.

January 25th 2021

Spotlighting Top Health Care Issues to Monitor in 2021

Several factors will have a significant impact in the health care industry in 2021, such as management of disparities in vaccine administration and greater investment in telehealth, said Gurpreet Singh, MBA, US Health Services Leader at PwC.

January 21st 2021

Medical Claim Denial Rates Rising, Highest in Initial COVID-19 Hotspots

Matthew Gavidia

Findings of the Change Healthcare 2020 Revenue Cycle Denials Index indicate that since the onset of the coronavirus disease 2019 (COVID-19) pandemic, medical claim denials have risen 11% nationwide, with the most denial rates found in regions with the highest first wave of outbreaks.

January 15th 2021

Addressing Health Insurance Consumer Behavior in 2020, Potential Trends to Watch in 2021

Matthew Gavidia

Based on US health insurance consumer behavior reported in the eHealth Insights: 2020 Retrospective report, notable trends of the past year to watch for in 2021 include the popularity of $0 premium Medicare Advantage plans, the rise of telemedicine, and potential hesitancy against taking a vaccine for coronavirus disease 2019.

January 13th 2021

How COVID-19 May Drive Changes in Health Care Delivery, Investment in Value-Based Care

As coronavirus disease 2019 (COVID-19) continues to drive significant change in health care delivery, physician leaders affiliated with the Council for Accountable Physician Practices have worked to increase investment in strategies to address disparities in care exacerbated by the pandemic, such as value-based care and telemedicine.

January 8th 2021

Contributor: Internal Communication and How It Affects Engagement

Shaun Parker

January 6th 2021

Dr Richard Shinto on Managing Disparities in Health Care Services Amid the Pandemic

Despite limited resources to combat the coronavirus disease 2019 pandemic, collaborative efforts among the government, health plans, and providers in Puerto Rico exemplify how care can be better optimized in communities in the United States impacted by disparities in health care services.

December 30th 2020

Contributor: 3 Ways Health Plans Can Leverage Natural Language Processing Technology

Karen Kobelski, MBA

December 28th 2020

Robert Baird, RN, MSA, on Direct Contracting for Smaller Employers

Rose McNulty

Robert Baird, RN, MSA, president of the National Cancer Treatment Alliance, discusses ways that employers of all sizes can pursue direct contracting with health care providers.

December 24th 2020

Top 5 Most-Read Employer Articles of 2020

Matthew Gavidia

The top 5 most-read employer stories of 2020 on AJMC.com focused primarily on the role of the coronavirus disease 2019 pandemic on several issues affecting the workplace, including adverse mental health outcomes, leave-related concerns, and the rise of virtual care.

December 24th 2020

Employers: Innovators and Partners in the Delivery of More Effective and Equitable Cancer Care

Joseph Alvarnas, MD Harlan Levine, MD

Employers have the focus, innovative mindset, analytical tools, and drive to partner effectively with innovative cancer care entities to bring better care to their respective members.

December 22nd 2020

Robert Baird on the Benefits of Direct Contracting for Employers

Rose McNulty

Robert Baird, RN, MSA, president of the National Cancer Treatment Alliance, discusses potential issues employers can avoid by direct contracting with providers.

December 18th 2020

Novel Multicancer Early Detection Technology—Potential Value to Employers and the Workforce

Joshua J. Ofman, MD, MSHS Azra Raza, MD A. Mark Fendrick, MD

Multicancer early detection technology could help reduce cancer mortality compared to the current strategy of single-cancer screening tests.

December 18th 2020

Reimagining Cancer Care Delivery—and Serving Employers—Through Access Hope

Mary Caffrey

In an interview with Evidence-Based Oncology™, City of Hope's Harlan Levine discussed the rising interest of employers in cancer care and how AccessHope can help them deliver better care where their employees live.

Anthony Harris, MD, MBA, MPH, WorkCare, and Matthew Gavidia, AJMC

December 16th 2020

Dr Anthony Harris on Short-, Long-Term Impact of a COVID-19 Vaccine in the Workplace

Although a vaccine against coronavirus disease 2019 (COVID-19) is now in the fold, Americans should expect to remain in their current work environment in the short term, with potential long-term implications spanning the next 5 years.

December 11th 2020

Estimating the Economic Burden of Migraine on US Employers

Aylin Yucel, PhD Andrew Thach, PhD Sharanya Kumar, PhD Catherine Loden, BS Mark Bensink, PhD Neil Goldfarb, BA Robert Cowan, MD

The Migraine Impact Model is an interactive calculator that estimates migraine prevalence within a workforce and the associated economic burden of migraine on the employer.

December 11th 2020

The Persistent Pandemic of Violence Against Health Care Workers

Ashleigh Watson, MD Mohammad Jafari, HBSc Ali Seifi, MD

The problem of violence against health care workers has escalated across the world, and tackling this issue requires the support of administrators.

December 7th 2020

Michael Thompson on Influence of Mental Health, COVID-19 at National Alliance’s 2020 Annual Forum

At the National Alliance’s 2020 Annual Forum, a chief focus was spotlighting issues within the workplace exacerbated by the coronavirus disease 2019 pandemic such as mental health and disparities in availability of health care services.

Bill Kramer, MBA, Pacific Business Group on Health

December 3rd 2020

Contributor: 3 Reasons Employers Should Be Concerned About ACA Repeal

Bill Kramer, MBA

Bill Kramer, MBA, is the executive director for National Health Policy at Pacific Business Group on Health.

November 30th 2020

Considerations for Policy Makers Wanting to Optimize Telemedicine, Virtual Care

Through a collaborative effort by Catalyst for Payment Reform, the American Benefits Council, and Mercer, 4 key telemedicine considerations were issued for policymakers seeking to capitalize on the substantial growth in telemedicine and virtual care.

November 26th 2020

Dr Frederick Schnell on Employer Concerns in Cancer Coverage

Rose McNulty

Frederick Schnell, MD, FACP, medical director of COA, discusses how employers' concerns with cancer care coverage can be addressed without compromising quality.

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