The Broker Innovation Lab celebrates brokers and other benefits stakeholders who have embraced the changing marketplace to position themselves and their business for future success
Sutter Health, a large hospital system in Northern California, allegedly charged 30% more than comparable hospitals after implementing anticompetitive contracting practices in the early 2000s.
The three largest PBMs, including CVS Caremark, Express Scripts and OptumRx, "handle 79% of U.S. medical prescriptions for approximately 270 million people."
If you track the revenue of UnitedHealth, Cigna, Aetna/CVSHealth, Anthem/Elevance, and the Blues combined, you'll see that as their revenue goes up, so do the premiums charged to employers and employees.
When the Oregon Health Authority approved a controversial fast-tracked merger involving Optum in mid-March of this year, it made headlines across the nation. Here's why it's so important we keep paying attention.