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Prescription Rebate Guarantees: Employer Insights

July 19th 2024

This study examined employers’ understanding of rebate guarantees, dependency upon rebate dollars, and the role that pharmaceutical rebates or employer benefits consultants play in their pharmacy benefits manager selection.

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

Headlines overwhelming person.
Taking Action Against the Rising Mental Health Crisis: Efforts From Health Plans, Congress, and More

May 10th 2022

Disparities in Health Care Use Among Low-Salary and High-Salary Employees

May 9th 2022

How Can Employers Safely Return Employees to the Workplace?

Recognizing trends in health care that align with the COVID-19 pandemic and related racial disparities can improve the design of timely and effective strategies by employers to safely return employees to the workplace.

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Healthcare Payment Models
September 26th 2018

Healthcare Payment Models

Oncology Care Within Integrated Delivery Networks
September 26th 2018

Oncology Care Within Integrated Delivery Networks

The Unique Case of the VA Model
September 26th 2018

The Unique Case of the VA Model

Best-in-Class Healthcare Delivery Models
September 26th 2018

Best-in-Class Healthcare Delivery Models

Integrated Delivery Networks
September 26th 2018

Integrated Delivery Networks

The Role of Medium-Sized Employers
September 26th 2018

The Role of Medium-Sized Employers

Large Employers and Healthcare Consolidation
September 26th 2018

Large Employers and Healthcare Consolidation

The Impact of Consolidation on Healthcare Stakeholders
September 26th 2018

The Impact of Consolidation on Healthcare Stakeholders

Potential Benefits of Healthcare Consolidation
September 26th 2018

Potential Benefits of Healthcare Consolidation

Factors Behind Healthcare Consolidation
September 26th 2018

Factors Behind Healthcare Consolidation

The Advent of Managed Care
September 26th 2018

The Advent of Managed Care

History of Mergers and Acquisitions in the Healthcare Industry
September 26th 2018

History of Mergers and Acquisitions in the Healthcare Industry

Dr Suzanne Delbanco: Employers Have a History of Pushing for Healthcare Transformation
September 26th 2018

Dr Suzanne Delbanco: Employers Have a History of Pushing for Healthcare Transformation

Since they foot the bill for a lot of Americans’ healthcare costs, employers have a lot vested in the health of their populations and have been involved with pushing for healthcare transformation, said Suzanne Delbanco, PhD, MPH, executive director of Catalyst for Payment Reform.
Survey: Women Lack Confidence in Insurers, Employers to Meet the Needs of People With Migraine
September 17th 2018

Survey: Women Lack Confidence in Insurers, Employers to Meet the Needs of People With Migraine

Jaime Rosenberg
The survey of more than 340 women revealed an overwhelming belief that people with migraine are dismissed as exaggerating their symptoms and that employers don't understand the burden of migraine on their employees.
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August 31st 2018

Percent of Employers Offering Health Coverage Increases for First Time Since 2008

Laura Joszt, MA
New research from the Employee Benefit Research Institute has found that although there was some erosion in health insurance offered by employers after the implementation of the Affordable Care Act, the percentage of private-sector employers offering health benefits increased in 2017 for the first time since 2008.
Employers Actively Exploring, Offering New Ways of Delivering Healthcare to Employees
August 10th 2018

Employers Actively Exploring, Offering New Ways of Delivering Healthcare to Employees

Jaime Rosenberg
In a survey of 170 employers, employers indicated that they are taking a more activist role in delivering healthcare to their employees, expressed frustration with the pharmaceutical supply chain, and said they expect to see a large uptake of virtual healthcare in the coming years.
Value-Based Payment Models Not Yet Reaching Full Potential, Study Says
June 26th 2018

Value-Based Payment Models Not Yet Reaching Full Potential, Study Says

Allison Inserro
A new study from the Healthcare Financial Management Association, Leavitt Partners, and McManis Consulting found that the penetration of value-based payment (VBP) models is not yet enough to generate cost savings and is also not affecting clinical quality outcomes at the market level.
David Merrill and John Robinson Discuss Barriers to APMs, Factors of Interest
January 15th 2018

David Merrill and John Robinson Discuss Barriers to APMs, Factors of Interest

The ability to have a plan that’s going to work and be large enough that it makes sense for those involved is a barrier for employers who want to pursue alternative payment models, said David Merrill, HR benefits manager, Volusia County, Florida, and John Robinson, CEBS, REBC, RHU, president and CEO, RobinsonBush.
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December 1st 2017

CMS Finalizes Changes to Joint Replacement Bundles; Verma Promises Shift to Voluntary Models

Mary Caffrey
Scaling back the Comprehensive Care for Joint Replacement model and canceling an expansion proposed under the Obama administration represents a shift in philosophy from mandatory to voluntary bundled payment models. But some say that commercial payers and employers will demand change no matter what CMS does.
Healthcare, Absenteeism Costs of Diabetes Reach $266B in US
November 14th 2017

Healthcare, Absenteeism Costs of Diabetes Reach $266B in US

Mary Caffrey
The Gallup-Sharecare Wellbeing Index released its estimate of the cost of diabetes for employers on World Diabetes Day.
Brian Marcotte Gives Recommendations for Employers Considering ACOs
October 17th 2017

Brian Marcotte Gives Recommendations for Employers Considering ACOs

Brian Marcotte, president and CEO of the National Business Group on Health, offers recommendations for employers that are considering accountable care organizations (ACOs) and describes situations when an ACO is not a good fit.
How Employers Can Take Initiative to Reduce Costs, Improve Employee Care Experience
September 29th 2017

How Employers Can Take Initiative to Reduce Costs, Improve Employee Care Experience

Employers have started to focus on fulfilling opportunities to control costs and supplying more services to help employees understand their treatment options and the healthcare system as a whole, explained Brian Marcotte, president and CEO of the National Business Group on Health.
Brian Marcotte: What Employers Are Looking for From an ACO
September 12th 2017

Brian Marcotte: What Employers Are Looking for From an ACO

Having employers and accountable care organizations agree on expectations is necessary for better alignment of care offered, explained Brian Marcotte, president and CEO of the National Business Group on Health.
Brian Marcotte on Employers' Understanding of ACOs
August 20th 2017

Brian Marcotte on Employers' Understanding of ACOs

Employers understand what accountable care organizations are, but they need a better understanding of how they deliver value better than the market, explained Brian Marcotte, president and CEO of the National Business Group on Health
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January 20th 2017

5 Things to Know About the Future of Wellness Programs

Mary Caffrey
"Voluntary" is the key word in today's wellness programs, after EEOC rules were tested in court.
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January 20th 2017

ACA Repeal Could Affect Future of Wellness Provisions

Mary Caffrey
After great effort to resolve apparent conflicts between the ACA and older statutes, including the Americans with Disabilities Act, a repeal of the healthcare law may send regulators back to the drawing board.
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December 19th 2016

Employers Express Their Concerns With Cancer Care at the COA Summit

Surabhi Dangi-Garimella, PhD
At the Community Oncology Alliance (COA) Payer Exchange Summit V, 2 employer groups and a provider participated on a panel to provide practical insight into the extraordinary challenges and decisions that employers and employees with a cancer diagnosis are faced with.
Dr Bruce Quinn on Cutting-Edge Medicine and Employers' Role in Health Management
November 16th 2016

Dr Bruce Quinn on Cutting-Edge Medicine and Employers' Role in Health Management

Reimbursement is not an issue for basic cancer tests, but questions surround the payment and guidelines for more cutting-edge medical innovations, said Bruce Quinn, MD, PhD, a consultant at Foley Hoag. He added that the role of employers in health management is not changing as quickly as we may think.
Ted Kyle Emphasizes a Greater Need for Obesity Education for Employers
November 3rd 2016

Ted Kyle Emphasizes a Greater Need for Obesity Education for Employers

Obesity is more than just a lifestyle disease. Ted Kyle, RPh, MBA, principal at ConscienHealth, explained that understanding its complexities as well as the behavioral and physical care it requires is essential in improving the health and productivity of employees.
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July 18th 2016

What We're Reading: Poll Finds Workplace Stress Is a Major Health Issue

AJMC Staff
Also, the share of employers funding wellness programs has passed the 50% mark, but not all employees use them.
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