Pharmacy benefits influence how employees manage their health and how they experience their overall healthcare coverage. When pharmacy programs are transparent and easy to understand, employees are better equipped to stay adherent to treatment, manage chronic conditions, and avoid unnecessary medical costs. Transparent benefits also reduce confusion at the pharmacy counter and create a more … Continued
Pharmacy benefits have become a central part of employee healthcare programs. As pharmacy costs rise and new therapies enter the market, employers are beginning to see that pharmacy strategy is not an isolated function. It is directly connected to talent management, financial planning, clinical outcomes, and the long-term sustainability of the organization’s health benefits. A … Continued
Pharmacy costs have become one of the most pressing challenges for employers. What used to be a smaller part of the benefits budget is now a major driver of total healthcare spending. Costs are rising quickly, projections are harder to manage, and many employers are struggling to understand the true sources of their pharmacy spend. … Continued
Mark Cuban’s Cost-Plus Pharmacy (Cost-Plus) has garnered significant attention for its transparent pricing model and potential to reduce prescription medication costs. Many self-funded employers are particularly interested in partnering with Cost-Plus, hoping it will yield substantial savings for their health plans. However, it’s crucial to understand that “cost plus” is not synonymous with “lowest cost.” … Continued
The Challenge The medical prescription spend for a western Pennsylvania university was spiraling out of control. The per employee per month (PEPM) drug cost for specialty medications accounted for nearly 50% of the total medical/Rx claim cost. In 2020, the university faced a high double-digit increase from their benefits provider with no programs to mitigate … Continued
In this episode of Expect an Expert, we’ll be discussing specialty pharmacy strategy. We’ve invited our Director of Pharmacy Solutions, Dr. Chris Antypas, to speak about specialty medications and their impact on work, cost, and pharmacy benefits for employers. Time Stamps: 00:49 Dr. Antypas’s unique background and experience 01:51 Could you tell us more about … Continued
