Pharmacy Benefit Management – Part 3 – Case Study
How can your company reduce pharmacy costs while providing the best care and service to employees? Our PBM model consistently delivers high value and significant savings to clients. While each element of our program produces savings for clients, the savings are maximized when all programs are implemented. As each pathway targets different savings opportunities. In […]
Pharmacy Benefit Management – Part 2
Do you know how specialty medications are impacting your company’s health insurance costs? While specialty medications offer promising treatment options for complex conditions, their high cost can pose challenges for affordability and access, impacting both patients and healthcare systems. Specialties not only cause significant increases to the overall plan, but can impose financial hardships on […]
Pharmacy Benefit Management – Part 1
When medication costs go up, insurance costs follow suit because insurance companies have to cover those expenses. So, rising pharmaceutical medication prices can lead to higher health insurance premiums for consumers. If you are self-funded and using a Pharmacy Benefit Manager you need to understand how your PBM is managing the cost of pharmaceuticals. Employee […]
Many Patients Billed for Preventive Care That Should Be Free
People are being charged for preventive health care, health care that should be at no cost to them. That’s the headline from an article in the US News & World Report by Robert Preidt, HealthDay Reporter. The article stated, “Out-of-pocket charges for preventive care that should be free under the Affordable Care Act can discourage patients […]
No More Surprises
The No Surprises Act, a ban on surprise medical bills, will take effect beginning in 2022. Surprise Medical Bills Surprise medical bills occur when patients unexpectedly receive care from out-of-network health care providers. – A patient goes to an in-network hospital for surgery or emergency care, and an out-of-network doctor is involved in the patient’s […]
Let the dogs out!
Surprise medical bill? – Surprise medical billing applies to fully-insured commercial insurance plans. No federal laws exist to prevent surprise medical bills and of the states that do less than half provide comprehensive legislation. Employees are confused when they receive a surprise medical bill and it generally reflects poorly on the company plan […]
OSHA Recommends that Employers Encourage Workers to Wear Face Coverings at Work
As businesses open and employees return to work, large numbers of employees of workers will be required to wear faces masks in the workplace. The Occupational Safety and Health Administration (OSHA) has published a series of answers to frequently asked questions (FAQs) regarding the use of masks in the workplace to help employers provide a […]
Florida’s COVID-19 Data and Surveillance Dashboard
The link below provides some very insightful data regarding the spread of COVID-19. https://experience.arcgis.com/experience/96dd742462124fa0b38ddedb9b25e429 The chart in the lower left is particularly interesting. Obviously, one would expect an increase in cases as the number of tests increase. However, note the trend of the decrease in the number of new cases. What does this mean? To […]
COVID-19 and Medicare
Employee Benefit Advisors recommends communicating the following to you employees. Odds are your company has either employees on Medicare, family members on Medicare, or both. Copays for the Coronavirus test have been waived, but not the cost of the doctor visit needed to get the test or the treatment. Telehealth – CMS announced that it […]
Coronavirus – easy to understand info for employees
Symptoms people may experience: 1. runny nose (Not to be confused with allergies) 2. sore throat 3. cough (develop the habit of coughing into your sleeve or handkerchief – never your hand!) 4. fever 5. tightening of chest / difficulty breathing (severe cases) What can you do? • Emergency Room – very expensive • Urgent […]