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Health Plans Covering Fewer Drugs, Imposing More Restrictions

InterWest Insurance Services

As prescription drug costs continue growing and pricey new pharmaceuticals add to health plans’ cost burdens, some carriers are starting to reduce the number of medications they’ll cover and are imposing new barriers to accessing the most expensive ones. This is referred to as a pharmacy deductible.

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Spread the Word About Additional HSA Contributions

InterWest Insurance Services

Usually, these accounts are funded with pre-tax deductions from your employees’ paychecks, but if they didn’t max out their contributions last year, they still can do so up until the tax-filing deadline. Funds in HSAs can be used to pay for a myriad of out-of-pocket medical-related expenses, pharmaceuticals and medical devices.

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Report: Group Health Plan Cost Inflation to Pick Up Steam

InterWest Insurance Services

in 2024, as inflation starts hitting the cost of delivering care as well as pharmaceuticals. Pharmaceutical costs — There are two significant drug cost drivers: Specialty drugs: These are significantly more expensive than their traditional drug counterparts, often costing more than $2,000 per month per patient.

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How much is my drug copay?

CorpStrat

” It seems like it should be a simple answer, but in today’s rapidly changing pharmaceutical and insurance landscape, it’s becoming increasingly complicated. The pharmaceutical landscape is changing rapidly, and consumers need to stay informed and proactive. Let us share our experience and what our clients can learn.

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Many Employees Choosing the Wrong Health Plans

InterWest Insurance Services

Many employees choose pricey plans with low deductibles, which force them to spend more up front on premiums to save just a few hundred dollars on their deductible. Study 1: The deductible angle. As a result, workers paid an extra $528 in premiums for the year to keep their deductible at $750 instead of $1,000.

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New Approaches to Managing Health Care Costs, Improving Outcomes

InterWest Insurance Services

This process, called steerage, if executed correctly can save the employee money on their deductibles, copays and coinsurance and help them get better overall care. ” And as new and more expensive pharmaceuticals hit the market, the portion of overall health care costs that goes towards medications will continue to rise.

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Employers Use Variety of Strategies to Provide Competitive and Cost-Effective Health Care Benefits

InterWest Insurance Services

A growing share of employers offer high-deductible health plans (HDHPs) and health savings accounts (HSAs) to employees. This may include: Step therapy, which entails trying other, less expensive yet proven pharmaceuticals and health and fitness regimens first. Prior authorization before approving their use. Eligibility requirements.