Enrollment

Although it may feel premature to start preparing for the next OE season, now is the best time to implement new technology.

While the overwhelming majority of Americans are not on Medicaid, it is important to recognize that sharp funding cuts to Medicaid would not only affect program recipients, but also the financial wellbeing of countless hospitals and community health centers.

The program offers more benefits, but using the benefits is not always easy.

Only about 1 in 4 know that the co-pays for some prescription drugs are different fron the co-pays for others.

A shift away from the status quo can be scary, but with pharmacy costs and health care spending nearing unsustainable levels and all-time highs and great scrutiny of the fiduciary obligations of plan sponsors, the stakes are too high to hope for better communication, collaboration, and results from traditional PBMs.

Employees are now largely left to their own devices to figure out the benefits enrollment process. This "passive enrollment" trend is mired in a mix of clunky technology, poor communication, less effective call center interactions, and, with on-cycle enrollments, lower visibility for voluntary benefits.