Health Care Reform

Discussed below are some of the most common contractual provisions that plan fiduciaries and benefits advisors must know to avoid and/or expose a self-serving PBM.

The study found that 65% of respondents worry that Medicare won't be around for them.

Last year, private equity firms were responsible for 17 (21%) of 80 total health care bankruptcy filings, while another wave of these bankruptcies is expected in 2024, according to the Private Equity Stakeholder Project.

Benefits advisors play a crucial role in safeguarding the health and financial wellbeing of millions of Americans, making their role more vital than ever in the face of recent significant legal and economic challenges.

Pharmacy benefit manager Optum Rx plans to launch Clear Trend Guarantee in 2025 to allow employers and health insurers to more easily manage their drug spending, while creating more predictability for patients around costs.

The All-Payer Health Equity Approaches and Development (AHEAD) model includes additional support for primary care to assist with care management and health maintenance – areas where digital health tools would be invaluable.