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“BenefitsLink continues to be the most valuable resource we have at the firm.”
-- An attorney subscriber
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Search the News Archive
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22 Matching News Items |
| 1. |
Sina Chehrazi in MedCity News
June 25, 2025
"Health systems need to make interoperability a priority, not a side project. Insurers must deliver real transparency, not just check the compliance box. Employers should stop piling on point solutions and start demanding integrated platforms. And tech companies have to earn trust by delivering transparent value from day one."
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| 2. |
MedCity News
June 12, 2025
"For employers navigating rising costs and evolving employee expectations, the answer is rarely another level of benefits complexity. It's a focus on the fundamentals: budget predictability, plan flexibility, and the ability to align investment with impact. In that context, reclaiming control isn't about resisting change; it's about reasserting ownership in a space where that's been far too difficult to achieve for far too long. And it's for this reason that the defined contribution model -- often implemented through an ICHRA -- is gaining traction."
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| 3. |
MedCity News
Apr. 29, 2025
"For employers to offer effective, accessible and affordable value-based care for their employees, they must address [these] four components ... [1] Utilize your own data to develop personalized healthcare plans ... [2] Offer effective preventive care programs ... [3] Address benefits literacy ... [4] Ensure price transparency."
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| 4. |
MedCity News
Nov. 19, 2024
"The cornerstone of any effective pharmacy benefits strategy lies in proactive utilization management.... You need to combine a robust navigation platform with independent care coordinators who serve as central connectors between employers, PBMs, prescribing providers and members. A platform with unique access to real-time data and insights makes it possible to intervene early for prior authorization reviews to proactively anticipate specialty drug requests and potentially change the trajectory of care before a claim is filed."
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| 5. |
MedCity News
June 26, 2024
"Three in five consultants, or 61%, said they are spending more time this year advising clients on the costs of prescription drugs ... [D]espite the popularity of [GLP-1] drugs, less than one in three consultants, or 31%, are recommending expanded coverage. Nearly half, or 47%, are recommending both increases and decreases in coverage, depending on the client."
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| 6. |
MedCity News
May 20, 2024
"[L]arge PBMs, in particular, may make opaque models more appealing, even if its business practices aren't ideal. The complexity associated with PBM implementation may deter payers from making a change. And/or a PBM may be willing to offer pricing improvements to compensate for its lack of transparency. So, even if a payer wants more transparency, it can be incentivized to maintain the status quo."
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| 7. |
MedCity News
Mar. 13, 2023
"AHIP and several other healthcare organizations launched the Connecting to Coverage Coalition ... in an effort to make the upcoming Medicaid redetermination process run smoothly. The coalition's website includes studies on Medicaid redeterminations and frequently asked questions for enrollees. AHIP also released a report that shows 53.6% of those who will lose coverage will transition to employer-sponsored insurance and 21.2% will become uninsured."
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| 8. |
MedCity News
Dec. 14, 2022
"[M]any insurers have begun moving toward a 'supermarket' of various offerings, most likely amassing many segment-centric assets.... [Tailoring] health plan offerings reactively to consumer demand ... is achieved by adding hybrid products that address specific customer needs or by stitching together a marketplace of add-on point solutions.... [S]ome insurers are using the startup approach to design new care models and coverage plans. The risk is that it requires scale to succeed."
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| 9. |
MedCity News
Nov. 9, 2022
"More than 31% of people with employer-sponsored insurance stuck with a job they disliked for the company's health insurance ... Another 8% of respondents left a job they liked to seek better coverage."
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| 10. |
MedCity News
Oct. 21, 2022
"After a national trade association for PBMs ... sued the state of Oklahoma claiming the state's PBM regulations violated federal law, a district court ruled in favor of the state. PCMA appealed the case. Now, the state attorneys generals are asking the appellate court to reject PCMA's claims and uphold the district court's decision saying that Oklahoma can regulate PBMs." [Pharmaceutical Care Management Assoc. (PCMA) v. Mulready, No. 19-0977 (W.D. Okla. Apr. 4, 2022; on appeal to 10th Cir. No. 22-6074, amicus brief filed Oct. 18, 2022)]
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