The goal of the program is to reduce readmissions and improve health outcomes for its patients.Read More
High-deductible health plans have been touted as a savvy behavioral tool to motivate enrollees to more closely scrutinize the price tag of imaging tests, brand-name drugs and more. But at what point does the hefty deductible discourage employees and their families from getting potential health problems checked out or treated?
'People who were confused about what was covered [outside of the deductible] were more likely to cut back on care,' one researcher says.
Allowing schools to self-insure their student plans, officials said, should reduce the expenses incurred by students while allowing schools to maintain adequate coverage.Read More
For a majority of employers, the lack of ROI data has not stemmed incremental expansions in the types of services offered at the on-site centers. Read More
A smaller reduction in the number of uninsured could negatively affect employers as the amount of uncompensated care—a cost that health care providers now try to shift in the form of higher charges to patients with health insurance—will not decline as much as providers had initially hoped.Read More
The findings are similar to those last month from the International Foundation of Employee Benefit Plans, which found that 85 percent of respondents said they definitely would or were very likely to continue coverage.Read More
While many employers have achieved acceptance, a new survey shows they do not have a strategy for complying with the law's 2014 provisions. One 'sleeper' issue: Medicaid expansion.
Existing policies will remain in effect and renewable, provided an employer's premiums are paid on time and its policy limits are not exhausted.Read More
Express Scripts, like other PBMs, are third-party middlemen that negotiate prices with pharmacies and drugmakers on behalf of corporate clients and processes their claims.Read More