Employer-Paid

Two Competitive Enterprise Institute antitrust specialists say the agency never showed that PBMs are increasing patients' costs.

The three giants charge less than the guppies but report higher, more consistent profits, according to a new Health Affairs study.

Complex formulary structures, high initial pricing, entrenched market advantages favoring established brands, and hesitancy among prescribers and patients have slowed adoption, leaving billions in savings untapped.

Plans in some markets cover a much higher percentage of the working-age population than in others.

Earlier versions of the bill included provisions that would have limited an employer to including only $10,200 in spending on employee-only coverage and $27,500 in spending for family coverage coverage from taxable income.

Benefits advisors can help employers both manage those costs and enable better employee health outcomes by educating them on the ways GI-first benefits can impact all other aspects of employee wellness.

Mark Bertolini, ex-CEO of Aetna, proposed that employers continue to contribute to employees’ insurance, but instead of enrolling them in a group plan, allow them to select an individual plan that fits their needs.

The lawsuit alleged UnitedHealth CFO John Rex interfered with the company's decision to drop "one of the worst-performing target date options in the entire market.”