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UnitedHealthcare says it might review a patient’s records, even if the provider attests that a visit was justified under the prudent layperson standard. (Photo: Shutterstock)Recommended Stories
PBMs are ‘gangsters,’ Ohio AG alleges in lawsuit against Express Scripts, 6 others
As pharmacy benefit managers face scrutiny on Capitol Hill, a new Ohio lawsuit alleges Express Scripts and Prime Therapeutics used a Switzerland-based company to illegally drive up drug prices.
Indiana hospital care: Employers and workers paid $2 billion above the national average
New analysis shows that $1.6 billion would have come from 30 non-profit hospitals – and employer groups are now urging state lawmakers to take legislative action.
PBM drug pricing transparency reform bill headed to the full Senate
The bipartisan pharmacy benefit manager bill, which was approved by a Senate committee, would make it illegal to charge health plans and payers more for a prescription drug than what PBMs reimburse to the pharmacy.
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A Look Behind The HDHP/HSA Curtain
HDHPs have been putting too much financial strain on employees, however, are HSAs alone really an effective solution for your clients?
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Combating the Burnout Epidemic Virtually
In today’s 24/7 business climate, burnout has become a common occurrence: Gallup reports it now affects as many as 80% of American workers. Employers can benefit from financial and operational advantages while combating burnout and taking better care of their workforce’s behavioral health. Download this eBook to learn how you can help your clients make it easy for their employees to get the behavioral healthcare they need, conveniently and affordably.
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Addressing Inequities in Women's Heart Health
Benefits leaders can make significant progress toward DEI goals, improve operational metrics, and support a healthier workforce by offering digital therapeutics. Download this white paper and learn how offering a digital solution for heart health can generate thousands in savings per participant.
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