by betvmsibg | Feb 25, 2026 | Drug Costs, Employee Benefits Education, Health Plan Costs, Health Plan Design, Pharmacy Benefit Managers (PBMs)
Pharmacy costs continue to outpace nearly every other component of employer health plan spending. Specialty drugs, rebate structures, formulary shifts, and limited contract visibility have created frustration for many plan sponsors. Now, a new name has entered the...
by betvmsibg | Jan 27, 2026 | Drug Costs, Health Plan Costs, Health Plan Design, Pharmacy Benefit Managers (PBMs), Public Sector Benefits
Specialty drugs represent one of the fastest-growing cost drivers in employer-sponsored health plans. While these medications often account for a small percentage of total prescriptions, they can consume 40–60% of total pharmacy spend. For self-funded employers,...
by betvmsibg | Jan 15, 2026 | Data Analytics, Drug Costs, Health Plan Costs, Health Plan Design, Mental Health Compliance, Pharmacy Benefit Managers (PBMs), Public Sector Benefits, Supplemental Benefits
As we settle into 2026, employer-sponsored health plans face a compliance landscape that’s both richer in transparency and denser in requirements. Among the most talked-about and consequential mandates is Prescription Drug Data Collection (RxDC) reporting under the...
by betvmsibg | Dec 4, 2025 | Data Analytics, Health Plan Design, Pharmacy Benefit Managers (PBMs), Public Sector Benefits, Supplemental Benefits
For years, the promise of predictive analytics in employee benefits has sounded almost magical: algorithms that can foresee which conditions will develop, pinpoint looming cost spikes, and deliver tailor-made strategies that optimize both spend and employee health...
by betvmsibg | Oct 9, 2025 | Data Analytics, Health Plan Costs, Health Plan Design, Pharmacy Benefit Managers (PBMs)
In the world of employee benefits and health-plan management, one of the most undervalued and underleveraged resources lies quietly in plain sight: claims data. After renewal, or leading into your next renewal cycle, companies often reassess plan design, funding...
by betvmsibg | Sep 25, 2025 | Boosting Employee Retention, Employee Benefits Education, Health Plan Costs, Health Plan Design, Pharmacy Benefit Managers (PBMs), Public Sector Benefits
As healthcare costs continue to climb, employers are reexamining their network design strategies to balance affordability with quality care. Narrow networks – plans that limit the pool of in-network providers in exchange for lower premiums and more coordinated...
