Consumer Driven Health Care

Finding affordable family-forming programs for certain vulnerable or under-served employee populations represents an opportunity for brokers and advisors to be more strategic about serving their employer clients.

PhRMA argued that the Inflation Reduction Act delegated too much power to HHS, however, the DOJ said the industry association lacked standing because it doesn't manufacture or sell prescription drugs.

For years, Medicare has paid hospitals double the rates it pays other providers for the same services, such as colonoscopies and blood tests, but a new House bill requires Medicare to pay the same rates for such services.

One key to success with transitioning to RBP is to secure buy-in throughout the firm, from employees to the C-suite - and as workers understand the financial benefits, they often become the best salespeople for their co-workers.

The new state regulations are aimed at increased transparency to consumers and employers, as well as rooting out spread-pricing, which enables PBMs to charge pharmacists higher prices than they pay to manufacturers.

Employers should invest time in understanding how precision medicine is addressed in their health plan and benefits strategy today.