by US Rx Care | Dec 5, 2019 | Health care costs
The Trump administration on Nov. 15 announced two rules that would require more transparency in hospital pricing and health insurance out-of-pocket costs for enrollees. The final rule on hospital pricing will require hospitals to publish their standard fees both...
by US Rx Care | Nov 26, 2019 | Health care costs
In an effort to coax health plan participants to use price-shopping behavior when deciding on where to have a procedure, more insurers are starting to roll out a system known as “reference pricing.” With reference pricing, the health insurer imposes a limit on the...
by US Rx Care | Nov 19, 2019 | PBM, Pharmacy Benefit
In a move that exemplifies the potential conflict of interest that some large pharmacy benefit managers have, the nation’s largest PBM earlier this year said it would demand that rebates remain unchanged when drug makers roll out new price cuts. Drug makers earlier in...
by US Rx Care | Nov 13, 2019 | Health care costs
A new study has found that while group health plan costs will continue growing at the same rate as in the last few years (about 4% a year), the increases would be far less were it not for the spiraling costs of high-cost specialty prescription drugs. The 2020...
by US Rx Care | Nov 12, 2019 | Uncategorized
There are typically two approaches to securing health coverage for your staff – group health insurance or self-funding. Self-funding, however, can be costly and risky and is usually only done by larger organizations with thousands of employees. But there is a...
by US Rx Care | Nov 8, 2019 | Health care costs
By now you should be prepared and ready to go for your 2020 employee benefits open enrollment. You should have all your plan documents and have prepared or held presentations for your staff to explain the benefits package and any major changes to the plans that you...
by US Rx Care | Oct 29, 2019 | Health care costs
President Trump has issued a multi-faceted executive order to reduce costs and increase pricing transparency in the health care and insurance system. The parts of his order that could affect benefits that are part of employer-sponsored plans include: Helping people...
by US Rx Care | Oct 22, 2019 | Health care costs
A new survey has found that many American workers are struggling with medical bills even though they have employer-sponsored health plans. The good news from the survey was that 81% of respondents said they had health insurance, which meant they were 19% more...
by US Rx Care | Oct 15, 2019 | Health care costs
Short-term Health Plans Skimp on Medical Payments A new report by the trade publication Modern Healthcare shows just how little short-term care plans spend on enrollees’ medical claims. The report found that some plans spent as little as 9 cents of every...
by US Rx Care | Oct 8, 2019 | Health care costs
The much-maligned “Cadillac tax,” which was supposed to be implemented as a tax on high-value group health plans with premiums above a certain level, may finally be seeing the end of the road. Already the implementation of the tax, which was created by the passage of...
