Pharmacy

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  • Utilization of specialty drugs higher on exchanges

    October 22, 2014

    While pharmacy benefits utilization was roughly the same during the first half of 2014 for individuals enrolled in public health insurance exchanges and traditional insurance market plans, a new analysis shows the utilization of specialty drugs is much higher in the HIX marketplace.


  • Managing the cost challenges of specialty drugs

    October 6, 2014

    Employing a proactive strategy to address the explosive costs of specialty medications can serve the patients who need those specialized meds, with an unbelievable 63% increase in costs expected in the next two years.


  • How to help alleviate specialty Rx costs

    September 9, 2014

    Saddled with the high cost of emerging specialty drugs, employers are looking to their benefit advisers for strategies to manage their medical plan’s drug spend.


  • 4 trends slowing health care cost growth rate

    September 8, 2014

    Several factors, including the economy and technological advances, are contributing to a slowdown in the health care cost growth rate in the U.S., studies show.


  • Health care cost increases driven by specialty drugs, economy

    June 25, 2014

    A nearly 7% spike in health care costs in 2015 can be attributed to a revitalized economy, the modernization of health care technology and the drastic increase in specialty drug use.


  • Helping employers understand Rx specialty drugs on and off the exchanges

    June 17, 2014

    The accessibility of specialty prescription drugs may be as elusive on the Affordable Care Act’s health care exchanges as it typically has been off of the exchanges, and trusted advisers need to be able to navigate both discussions with clients.


  • Don't overlook the value of claims auditing

    June 4, 2014

    Auditing fees may not be inconsequential, but the fact is that an accurate audit including both pharmacy and medical claims has the potential to pay back the investment many times over.


  • An inside look at wellness program strategies

    June 4, 2014

    With the impact of health care reform still evolving, employers are taking a fresh look at their strategies for keeping employees healthy and productive.


  • Rx drug costs on exchange plans higher than employer-sponsored coverage

    May 20, 2014

    Individuals could pay more than twice as much for prescription drugs with certain exchange plans, as employers that provide health coverage gain another asset to leverage.


  • Helping employers halt the Rx drug cost hemorrhage

    April 30, 2014

    Unbeknownst to your clients, prescription drugs are likely costing them a great deal. As their trusted adviser, here’s how you can help.


  • Early data show public HIX enrollees use more specialty meds

    April 9, 2014

    In a first look at pharmacy trends in public health insurance exchange plans, use of specialty medications was greater among exchange enrollees versus patients enrolled in a commercial health plan, according to new research released by Express Scripts.


  • Choosing the right pharmacy benefits manager for your plan

    April 4, 2014

    Pharmacy benefits are typically the most utilized benefit by plan members and one of the fastest-growing in terms of cost. Consequently, selecting the right pharmacy benefit manager is a critical decision in managing a plan and determining member satisfaction with that plan.


  • 10 drugs to watch

    March 25, 2014

    Overall spending on traditional prescription drugs -- mostly pills used to treat common conditions such as high cholesterol and depression -- will decline 4% by the end of 2015, largely because of the availability of generic medications, according Express Scripts. Here are 10 of the top brand-name drugs that had generic equivalents become available in 2013 or are expected to have generics available this year, courtesy of Express Scripts.


  • Study: Drug copayments and co-insurance fees up under ACA

    February 14, 2014

    Copayments and co-insurance fees have increased on average 34% compared with those of the pre-Affordable Care Act individual insurance market, according to the results of a new HealthPocket study released Thursday.


  • Catholic groups win ruling against ACA's contraception mandate

    December 16, 2013

    A group of Catholic health and educational organizations don’t have to comply with a federal Affordable Care Act requirement to provide their employees with contraception coverage, a federal judge in New York ruled.



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