Pharmacy Benefit Insights

If your group is using a level-funded plan there are several ways to manage prescription drug costs while maintaining critical access.

Many stop-loss plans can set individual deductibles for high-risk members, and one pricey claim can impact cash flow and plan costs.

A primary issue frustrating health plan members in rural areas is restrictive pharmacy networks which limit options and drive up costs.

By not assessing prescription claims in detail, employers may be missing out on potential cost-saving and cost-containment strategies.

Many rebate contracts stipulate payments after a wait sometimes 180 days after the payable quarter which can create cash flow challenges.

Healthcare renewal can be trying for plans dealing with cost increases, like specialty medications. Self-funding can be the solution.