MSK Buyer’s Guide
BEST – Benefit Engagement Survey Tool
Ever noticed how all your vendors claim your employees love them? Ever wished for an objective way of validating that claim? Welcome to BEST. BEST measures three things vendors don’t measure (or in some cases, don’t want you to measure). Specifically, BEST allows you to: Measure dropouts and non-participants as well as participants Compare your […]
How Employers Transform Pharmacy Benefits: Understanding the Continuum toward Alignment between plan sponsors, members, and PBMs to achieve Maximum Savings
The rising costs of drugs, and the system in which pharmacy benefits have traditionally been paid, has led many employers on a journey to reexamine the model they’re in as they realize the spend and outcomes they’re receiving are not a good value for the dollars they are paying. Speakers: Lee Lewis, Chief Strategy Officer […]
Employer’s Guide to Drug Spend Management
Download the drug spend management guide to develop a better understanding of the four key considerations for an effective pharmacy benefit management and administration strategy.
Securing The Lowest Net Cost PBM Contract
A Buyer’s Guide to Negotiating, Executing, and Validating a Beneficial Agreement Terrance Killilea, Pharm.D. USI Insurance Services Scott Haas Senior Vice President USI Insurance Services Introduction Most health and welfare benefit plans are subject to the Employee Retirement Income Security Act of 1974 (ERISA) or the Public Health Service Act (PHSA), which protects the interests […]
How to Avoid CAA Liability: A Case Study
How to Avoid CAA Liability: A Case Study By Al Lewis Prior to 2023, vendor misstatements of outcomes were only of academic interest to folks like the Validation Institute, and to purchasers who prioritized management of their healthcare spending in practice, rather than just as a talking point. However, the Consolidated Appropriations Act changes everything. […]
Optimizing Drug Spend
This module explores the dynamics behind the prescription drug market, reviews recent advances in prescription-related technologies and personalization, and teaches participants how to navigate the market forces at play to design a cost-effective drug plan.
CAA MSK Buyer’s Guide
The health and wellness industry offers myriad solutions. In particular, MSK (Musculoskeletal) solution providers vendors are on the rise – which is no surprise given MSK conditions are a major cost driver for employers. It is critical for employers to choose a vendor partner that aligns with the needs of their organization and most importantly […]
PBM Are You Prepared to Swear? New Health Benefits Attestation and Reporting Requirements
By the end of this year, employers must attest to the Department of Labor that they have received a full and complete disclosure of compensation from their plan service providers (broker, TPA, PBM, etc). Failure to get your hands on this information means that you will not qualify for ERISA’s prohibited transaction exemption. Transparency will not benefit […]
PBM Consolidated Appropriations Act, what employers need to know now
Webinar with Chief Executive Officer Magazine The Consolidated Appropriations Act, 2021 (CAA) is designed to increase transparency in employee health benefit plans. As fiduciaries of the benefit plan, Government agencies like the Department of Labor, the Department of Health and Human Services, and the Treasury will hold employers responsible and accountable for the CAA. What […]
PBM My State Slashed Public Employee Insurance Painlessly. So can West Virginia.
By Christin E. Deacon In West Virginia, insurance claims are up, while returns on investments are down. The result: a staggering $92 million deficit from the Public Employee Insurance Agency Fund (PEIA). This is the agency’s second year in a row in the red. Without a major intervention, not only will taxpayers likely face higher […]
CAA My State Slashed Public Employee Insurance Painlessly. So can West Virginia.
By Christin E. Deacon In West Virginia, insurance claims are up, while returns on investments are down. The result: a staggering $92 million deficit from the Public Employee Insurance Agency Fund (PEIA). This is the agency’s second year in a row in the red. Without a major intervention, not only will taxpayers likely face higher […]
CAA Consolidated Appropriations Act, what employers need to know now
Webinar with Chief Executive Officer Magazine The Consolidated Appropriations Act, 2021 (CAA) is designed to increase transparency in employee health benefit plans. As fiduciaries of the benefit plan, Government agencies like the Department of Labor, the Department of Health and Human Services, and the Treasury will hold employers responsible and accountable for the CAA. What […]
PBM MSK Buyer’s Guide
The health and wellness industry offers myriad solutions. In particular, MSK (Musculoskeletal) solution providers vendors are on the rise – which is no surprise given MSK conditions are a major cost driver for employers. It is critical for employers to choose a vendor partner that aligns with the needs of their organization and most importantly […]
MSK Are You Prepared to Swear? New Health Benefits Attestation and Reporting Requirements
By the end of this year, employers must attest to the Department of Labor that they have received a full and complete disclosure of compensation from their plan service providers (broker, TPA, PBM, etc). Failure to get your hands on this information means that you will not qualify for ERISA’s prohibited transaction exemption. Transparency will not benefit […]
