Risk management

Why You Might Want to “Fear the Steer”

Who Would Steer You to Fill Prescriptions at Their Own Specialty Pharmacies? They Decide Your Destination We have shared multiple examples of the cost to a “captive healthcare audience”, especially in hospitals and there is a variation occurring that can impact your co-pays and overall medication spending. This growing trend happens when hospitals and health systems are …

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It’s No Surprise the No Surprise Act is Under Attack

We recently wrote about the No Surprises Act (NSA) which impacts anyone paying bills for healthcare and went into effect at the start of 2022.1-3 We concluded that post stating, “Undoubtedly, there will be challenges, a myriad of loopholes that will be exploited (and need to be closed), and changes to be made, but it is …

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PBM Warnings & Ramifications

Our blogs have previously addressed how traditional Pharmacy Benefits Managers (PBMs) can increase the price of prescribed medications. PBMs are essentially companies that manage prescription drug benefits, “acting as the go-between for drug manufacturers and employers. However, PBMs do not always do so with the intention of securing the most cost-effective drugs, affecting access to …

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Just How Accurate Are Those COVID Tests?

We have featured a couple of health bill horror stories in the past (“No Rhyme, No Reason” and “No Rhyme, No Reason, Redux”).  There is no shortage of these, and unfortunately, sometimes the most demanding thing about reporting on these seems to be picking the most outrageous!  Yet hopefully, in addition to being shocking, they are also …

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