Full-stack platform to deliver whole-person care at scale and improve financial outcomes
No organization can be competitive in the global economy without healthy and productive employees. Employer-sponsored health insurance plays a significant part in maintaining employee health, unfortunately most plans' designs are reactive in nature, focusing heavily on providing medical services after employees get sick and not much on helping employees and their families improve their health. That has…
Typically Pharmacy Benefit Managers, or PBMs administer prescription benefit plans. PBM's job is to get discounted contracts with pharmacies and pharmaceutical companies, adjudicate claims from pharmacies, pay them for covered prescriptions and provide additional clinical & administrative support. Today, more than ever, prescription medicine represents a large portion of employer sponsored plan expenses, representing 15%-25% of the total…
Narrow networks have been in the news for the last few years. A number of carriers have started to offer this to employer-sponsored health plans as well as to individual marketplace. This concept is marketed differently than what it really is. Narrow network is essentially a higher discounting method based on an assumption that a…