Five steps to control escalating costs of speciality drugs

Speciality drugs are derived from living cells, often infused or injected and often require supervision. The prices for speciality drugs are much higher than branded or generic drugs. For example in employer sponsored plans, speciality drugs usage is about 2-5%, yet they make up over 30% of the overall cost. In comparison, the generics are typically…

10 factors to consider in your stop-loss coverage

Self-insuring your employee health benefit plan not only brings upfront cost savings, tax benefits and avoidance of state mandates, but it also provides a foundation for you to achieve sustainable cost management using better control and visibility. To help minimize the risk of unsupportable losses such as catastrophic medical claims or higher utilization, you can purchase…

Why employers should care about bundled payments?

The transformation to value-based health care is well under way. Self funded employers can take advantage of this opportunity by directly partnering with health systems.  Out of approaches such as ACO, PCMH, Pay for Performance- Bundled care stands out. Why? Because bundled care can produce results more quickly, and most of the benefits are directly related to…