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PBMs Feeling the Heat on All Fronts

InterWest Insurance Services

While drugmakers have been assailed for years for increasing their prices and driving the cost of medications higher and higher, there is another player in the health care space that is receiving increased scrutiny: pharmacy benefit managers. Those rebates can be significant.

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PBMs Feeling the Heat on All Fronts

InterWest Insurance Services

While drugmakers have been assailed for years for increasing their prices and driving the cost of medications higher and higher, there is another player in the health care space that is receiving increased scrutiny: pharmacy benefit managers. Those rebates can be significant.

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Pharmacy Benefit Manager Reform: What’s on the Horizon?

McDermott Will & Emery Employee Benefits

Congress and other policymakers continue to seek opportunities to lower costs for patients and the federal government. Pharmacy benefit managers (PBMs) are a key stakeholder in the drug supply chain, functioning as intermediaries between insurance providers and pharmaceutical manufacturers. appeared first on EMPLOYEE BENEFITS BLOG.

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Employers ‘Unwavering’ in Providing Group Health Benefits: Research

InterWest Insurance Services

” — Benefits executive at a manufacturing firm They didn’t want to be the first to jump out and completely disrupt their group health benefits offerings. “It would make workers feel like you were cutting and running.” “A big part was trepidation. Nobody wanted to be first.”

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Securing home insurance for appliances

Higginbotham

When you contact your homeowners’ insurance company, you find out that your policy doesn’t cover malfunctioning home appliances. Now you’re facing massive out-of-pocket costs. How much do home appliances cost? As a result, you may have to pay for the cost of a new appliance yourself.

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Departments Provide Relief for 2020 and 2021 Prescription Drug Reporting

Benefits Notes

As part of the Consolidated Appropriations Act, 2021, group health plans and issuers must annually report to the Departments certain prescription drug and health care information, including but not limited to the: 50 most frequently dispensed brand prescription drugs and the total number of paid claims for each such drug; 50 most costly prescription (..)

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3 Ways to Strengthen Cost Management for Pharmaceutical Benefits

Griffin Benefits

And while breakthrough biologics command most spending on autoimmune conditions, it doesn’t mean all of them are cost-effective or should be on formulary. Creating an additional tier for specialty drugs — or even for biologics and biosimilars alone — can start to help control costs.