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What PBM-carrier Mergers Mean for Employers and Benefits Plans

Corporate Synergies

There are plenty of reasons to be skeptical about the so-called benefits of PBM-carrier mergers. Consolidation in the insurance industry—integrating pharmacy benefit managers (PBMs) into carriers—is bringing change to the way employers buy health insurance and how employees and consumers use it.

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Medical Marijuana Within the Context of Workers’ Compensation Claims

The Workcomp Writer

The Court indicated that because the Board had not cited any legal authority for its conclusion, much less identify a federal statute that exposed the insurance carrier to criminal prosecution, it would vacate the Board’s determination that the reimbursement would violate federal law. Workers’ Comp. It had chosen not to do so.

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Adjusted Community Rating and Its Role in Health Care Costs

Insperity

This ratio compression is expected to result in higher premiums for younger individuals, as insurers account for the drop in premiums for older individuals. Most small businesses should expect to see an increase in their health insurance premiums due to this age ratio compression. Early bird special? Strength in numbers.