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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

stack of newspapers
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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Defining Quality, Value in Cancer Care: What Employers Should Seek From Providers
October 28th 2020

Defining Quality, Value in Cancer Care: What Employers Should Seek From Providers

Matthew Gavidia
A panel of key opinion leaders discuss how employers and self-funded companies should assess provider quality and value in cancer care at the 2020 Community Oncology Alliance Virtual Payer Exchange Summit.
Contributor: Drug Importation Would Have Little Impact on Producing Consumer Savings
October 23rd 2020

Contributor: Drug Importation Would Have Little Impact on Producing Consumer Savings

Michael Abrams
Michael Abrams, MA, is the co-founder and managing partner of Numerof & Associates, a firm that helps businesses across the health care sector define and implement strategies for winning in dynamic markets.
Addressing the Influence of Health Care Organizations on Physician Growth
October 18th 2020

Addressing the Influence of Health Care Organizations on Physician Growth

Health care organizations can help spur growth among physicians through incorporating key experiences, such as out-of-expertise skill building and cross-functional projects, in their physician leadership development programs.
How Employers Think About Addressing Rising Prices of Health Insurance
October 14th 2020

How Employers Think About Addressing Rising Prices of Health Insurance

To address rising prices of private health insurance, employers are considering several strategies, including narrow networks and decreased reliance on intermediaries.
Analysis Finds Deferral in Care May Fuel Higher Employer Health Care Cost in 2021
October 12th 2020

Analysis Finds Deferral in Care May Fuel Higher Employer Health Care Cost in 2021

Matthew Gavidia
As the pandemic contributed to a significant decrease in the use of health care services in 2020, an analysis finds that employer health care benefit costs will likely increase in 2021 to address this deferral in care.
KFF Survey Finds Employer-Sponsored Health Insurance Premiums Rose 4% in 2020
October 9th 2020

KFF Survey Finds Employer-Sponsored Health Insurance Premiums Rose 4% in 2020

Matthew Gavidia
Family premiums for employer-sponsored health insurance rose 4% over the past year, averaging $21,342, according to Kaiser Family Foundation (KFF) study findings, with workers contributing $5588 in out-of-pocket costs.
What Factors Will Be Influential to Employer Health Benefit Cost in 2021?
October 8th 2020

What Factors Will Be Influential to Employer Health Benefit Cost in 2021?

As employers seek to gain a pulse of what the health care benefit cost trend will be for the coming year, the Business Group on Health will be monitoring several factors, including the impact of the pandemic, efficacy of virtual care, and deferral in care delivery.
Addressing Employer Concerns in Health Care Benefit Plan Design
October 2nd 2020

Addressing Employer Concerns in Health Care Benefit Plan Design

In working directly with employers on their purchasing strategies amid the COVID-19 pandemic, notable concerns include independent primary care, consolidation, and quality of care.
How Are Employers Adjusting Health Benefit Strategies Amid the Pandemic?
September 30th 2020

How Are Employers Adjusting Health Benefit Strategies Amid the Pandemic?

Matthew Gavidia
Amid disruption precipitated by the coronavirus disease 2019 (COVID-19) pandemic, a survey by the National Alliance of Healthcare Purchaser Coalitions shows employers are maintaining or accelerating their health benefit strategies for 2021 and 2022.
Contributor: The Importance of Crisis Management/Social Networking Strategies for Behavior Change in Vaccine Adoption
September 25th 2020

Contributor: The Importance of Crisis Management/Social Networking Strategies for Behavior Change in Vaccine Adoption

Precision Value & Health
This article was written by Maureen Hennessey, PhD, CPCC, CPHQ, senior vice president and director of Value Transformation for PRECISIONvalue.
Employers Increasing Virtual, Behavioral Health Coverage Amid Pandemic
September 23rd 2020

Employers Increasing Virtual, Behavioral Health Coverage Amid Pandemic

Based on findings of the Business Group on Health’s 2021 Large Employers' Health Care Strategy and Plan Design Survey, employers have increased funding in virtual care and behavioral health amid the coronavirus disease pandemic.
Contributor: Steps Health Professionals Can Take to Reduce Inequality in Health Outcomes
September 18th 2020

Contributor: Steps Health Professionals Can Take to Reduce Inequality in Health Outcomes

Meena Venkatachalam, MSc Jason Shafrin, PhD
Jason Shafrin, PhD, serves as the vice president of Health Economics at PRECISIONheor, and Meena Venkatachalam, MSc, is the senior director of Health Economics at PRECISIONheor.
Understanding Expansion of FSAs, HSAs to Pay for Health Care Needs
September 16th 2020

Understanding Expansion of FSAs, HSAs to Pay for Health Care Needs

A cost-saving provision made possible by the recent COVID-19 relief CARES Act now allows Americans to leverage pre-tax funds from their flexible spending arrangements [FSAs] or health savings accounts [HSAs] to purchase over-the-counter medicines and menstrual care products.
Contributor: 4 Data Sharing “Truths” for Health Plans
September 11th 2020

Contributor: 4 Data Sharing “Truths” for Health Plans

Karen Kobelski, MBA
Karen Kobelski is the vice president and general manager of clinical surveillance, compliance & data solutions at Wolters Kluwer. She brings more than 25 years of experience to her position, which expands her previous leadership role over the Safety & Surveillance group to also include the Health Language portfolio of data normalization solutions.
Experts Discuss How Expanding Traditional Value Frameworks Can Address Inequities in Health Outcomes
September 9th 2020

Experts Discuss How Expanding Traditional Value Frameworks Can Address Inequities in Health Outcomes

Expanding traditional value frameworks to include inequality and factors that contribute to this is the first step to addressing disparities in health outcomes. Utilizing multi-criteria decision analysis and distributional cost effect analysis can assist in deriving data and subsequently acting on these issues.
Contributor: Why Key Leadership Experiences Are Vital for Developing Future Physician Leaders
September 3rd 2020

Contributor: Why Key Leadership Experiences Are Vital for Developing Future Physician Leaders

Brian M. Parker, MD Vibhas Ratanjee
As chief quality officer for Allegheny Health Network, Brian M. Parker, MD, is responsible for ensuring that the highest standards of patient care quality, safety, and service excellence are achieved.
Dr Jan Berger Previews Topics Stakeholders Will Hear at MBGH Meeting
September 3rd 2020

Dr Jan Berger Previews Topics Stakeholders Will Hear at MBGH Meeting

When 40th Midwest Business Group on Health (MBGH) Annual Conference meets this week, stakeholder groups will tackle issues within population health and precision medicine, and discuss the influence of employers on these discussions.
How Can Employers Optimally Support Employee Caregivers?
September 2nd 2020

How Can Employers Optimally Support Employee Caregivers?

Matthew Gavidia
In a webinar by the Integrated Benefits Institute, an employer panel discussed perspectives, initiatives, and challenges in their respective caregiving benefits, as well as how the current pandemic has impacted their strategies.
Examining the Impact of Behavioral Health Costs on Overall Health Care Spending
August 30th 2020

Examining the Impact of Behavioral Health Costs on Overall Health Care Spending

Of the top 10% considered high cost from an overall cohort of 21 million, a recent study by Milliman found that 57% of this high-cost group had a mental health or substance abuse diagnosis. This behavioral subgroup was shown to contribute to 44% of all health care spending, said Henry Harbin, MD, leading behavioral health expert and adviser to The Bowman Family Foundation.
Unraveling the Benefits and Nuances of Flexible Spending Arrangements, Health Savings Accounts
August 27th 2020

Unraveling the Benefits and Nuances of Flexible Spending Arrangements, Health Savings Accounts

Through a new cost-saving provision made possible by the recent COVID-19 relief CARES Act, consumers can now utilize flexible spending arrangements and health savings accounts to purchase cost-effective over-the-counter medications.
Assessing Availability, Financial Disparities of Behavioral Health Services
August 25th 2020

Assessing Availability, Financial Disparities of Behavioral Health Services

Going into the COVID-19 pandemic, previous studies by Milliman found a worsening over the past 5 years of access to inpatient intermediate levels of care and office-based care, said Henry Harbin, MD, leading behavioral health expert and adviser to The Bowman Family Foundation.
How Virtual Care, Back-to-School Support, Health Inequities Are Influencing Employer Action
August 20th 2020

How Virtual Care, Back-to-School Support, Health Inequities Are Influencing Employer Action

Matthew Gavidia
In 2 surveys, employers identified efforts to increase availability of virtual care, support employees undertaking greater caregiving roles, and address social and health inequities as a result of the pandemic.
How Can Data Integration Promote Personalization, Availability of Health Care?
August 19th 2020

How Can Data Integration Promote Personalization, Availability of Health Care?

Matthew Gavidia
Through the partnership between Innovaccer and Emtiro Health, data utilization will work to delineate and address social aspects known to affect the health of populations nationwide, said Kelly Garrison, CEO at Emtiro Health, and Paul Grundy, MD, chief transformation officer at Innovaccer.
Dr Mark Fendrick and Matthew Gavidia
August 12th 2020

How Can the COVID-19 Pandemic Enhance Value-Based Health Care Delivery?

Matthew Gavidia
Given the constraints prevalent post-COVID-19, Dr Mark Fendrick, director of the University of Michigan Center for Value-Based Insurance Design, stresses that it is now more important than ever for the health care industry to prioritize payment reform, value-based benefit design, and novel policy initiatives.
NAHPC Biosimilar Uptake Action Step 4
August 11th 2020

NAHPC Biosimilar Uptake Action Step 4

NAHPC Biosimilar Uptake Action Steps 2 and 3
August 11th 2020

NAHPC Biosimilar Uptake Action Steps 2 and 3

NAHPC Biosimilar Uptake Action Steps for Employers: Step 1
August 11th 2020

NAHPC Biosimilar Uptake Action Steps for Employers: Step 1

Promoting Biosimilar Uptake
August 11th 2020

Promoting Biosimilar Uptake

Value of Biosimilars to Employers
August 11th 2020

Value of Biosimilars to Employers

Differentiating Biosimilars From Generic Drugs
August 11th 2020

Differentiating Biosimilars From Generic Drugs

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