Large PBMs Balk at Push to Reduce Drug Prices

Large PBMs Balk at Push to Reduce Drug Prices

In a move that exemplifies the potential conflict of interest that some large pharmacy benefit managers have, the nation’s largest PBM earlier this year said it would demand that rebates remain unchanged when drug makers roll out new price cuts. Drug makers earlier in...
New Rules Aim for Hospital, Insurer Transparency

New Rules Aim for Hospital, Insurer Transparency

The Trump administration on Nov. 15 announced two rules that would require more transparency in hospital pricing and health insurance out-of-pocket costs for enrollees. The final rule on hospital pricing will require hospitals to publish their standard fees both...
How to Get the Benefits of Self-Funding without the Risks

How to Get the Benefits of Self-Funding without the Risks

There are typically two approaches to securing health coverage for your staff – group health insurance or self-funding. Self-funding, however, can be costly and risky and is usually only done by larger organizations with thousands of employees. But there is a hybrid...
The ‘Cadillac Tax’ May Finally Be Repealed

The ‘Cadillac Tax’ May Finally Be Repealed

The much-maligned “Cadillac tax,” which was supposed to be implemented as a tax on high-value group health plans with premiums above a certain level, may finally be seeing the end of the road. Already the implementation of the tax, which was created by the passage of...
How to Get the Benefits of Self-Funding without the Risks

How to Get the Benefits of Self-Funding without the Risks

There are typically two approaches to securing health coverage for your staff – group health insurance or self-funding. Self-funding, however, can be costly and risky and is usually only done by larger organizations with thousands of employees. But there is a hybrid...