Consumer Driven Health Care

Aetna Inc., The Cigna Group, Elevance Health Inc., Humana Inc., Zelis Claims Integrity LLC, Seliz Network Solutions and Zelis Healthcare were accused in multiple antitrust class actions of working together to suppress payments to out-of-network medical providers.

Whether or not you choose to cover weight loss drugs, offering holistic support can make a meaningful difference in employee health and productivity.

“Health is not owned by health care. As people age, healthy longevity requires a well-integrated fabric of personal, social, and community resources,” Yale professor says.

More than 1 in 10 American adults is unable to afford or access quality health care, according to the recent West Health-Gallup Healthcare Indices Study.

As alternative PBM models seek to up-end a payer’s longstanding relationship with a large PBM, they must be prepared to support clients with smart technology and innovative solutions that enable real-time data, increase transparency and ensure better pricing that impacts drug purchasing decisions.

Emphasizing and educating on the importance of seeking more immediate care does not solve the problem. The problem lies in cost.