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Carving Out Pharmacy Benefits: When It Makes Sense, When It Doesn’t.

Carving Out Pharmacy Benefits: When It Makes Sense, When It Doesn’t.

by betvmsibg | Jun 26, 2025 | Drug Costs, Health Plan Costs, Health Plan Design, Pharmacy Benefit Managers (PBMs), Public Sector Benefits

As pharmacy costs continue to be one of the fastest-growing components of healthcare spend, employers are increasingly evaluating whether carving out pharmacy benefits from their medical plan makes strategic and financial sense. While the decision can offer greater...
GLP-1s, Gene Therapies and the New Frontier in Drug Costs: Navigating 2025 Renewal Pricing and Formulary Management

GLP-1s, Gene Therapies and the New Frontier in Drug Costs: Navigating 2025 Renewal Pricing and Formulary Management

by betvmsibg | Jun 12, 2025 | Drug Costs, Health Plan Costs, Health Plan Design, Pharmacy Benefit Managers (PBMs)

Groundbreaking therapies such as GLP-1 receptor agonists and advanced gene therapies have dramatically reshaped the cost structures for employee benefit plans. As organizations gear up for their 2026 benefit renewals, understanding these developments is crucial for...
Self-Funded vs Fully Insured Health Plans: Which Model Saves More

Self-Funded vs Fully Insured Health Plans: Which Model Saves More

by betvmsibg | May 15, 2025 | Health Plan Costs, Health Plan Design, Public Sector Benefits

Choosing the right health plan funding isn’t just about cost – it’s about control. For business leaders, understanding the fundamental differences between Self-Funded and Fully Insured can unlock new ways to manage rising healthcare costs, gain greater...
How Supplemental Benefits Improve Employee Satisfaction Without Increasing Costs

How Supplemental Benefits Improve Employee Satisfaction Without Increasing Costs

by betvmsibg | Mar 13, 2025 | Health Plan Costs, Health Plan Design, Supplemental Benefits

In today’s competitive job market, attracting and retaining top talent is a priority for businesses of all sizes. While competitive salaries and traditional benefits like health insurance and retirement plans remain crucial, companies are increasingly turning to...
How Visibility and Data Analytics Improve Health Plan Outcomes

How Visibility and Data Analytics Improve Health Plan Outcomes

by betvmsibg | Feb 4, 2025 | Data Analytics, Health Plan Costs, Health Plan Design

In today’s complex healthcare environment, managing employee benefits effectively requires more than just offering a one-size-fits-all solution. Employers need clear visibility into their health plans and actionable data insights to make informed decisions. By...
Breaking Down Barriers: How Transparent PBM Practices Drive Better Benefits

Breaking Down Barriers: How Transparent PBM Practices Drive Better Benefits

by betvmsibg | Jan 27, 2025 | Health Plan Costs, Health Plan Design, Pharmacy Benefit Managers (PBMs)

The challenges surrounding Pharmacy Benefit Managers (PBMs) have long been a topic of concern for employers, healthcare professionals, and policy advocates. Recently, entrepreneur Mark Cuban reignited the conversation with his pointed critique of PBM practices, as...
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Recent Posts

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  • Plan Design That Drives Behavior: Leveraging Incentives to Reduce Long-Term Costs
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