Employers Experiment with Direct-to-Consumer Access for GLP-1s
Employers grappling with the cost and complexity of GLP-1 drugs are increasingly testing a workaround: steering certain employees to direct-to-consumer (DTC) arrangements that operate outside the company's health plan. The shift reflects a growing tension for benefits executives: how to manage
Model Law Could Spur States to Rein in Prior Authorization
A new model law adopted by the executive committee of the National Council of Insurance Legislators (NCOIL) could spur more states to adopt legislation to regulate health insurers' use of prior authorization. While prior authorization remains an important tool for managing
‘Stealth’ Health Plan Cost Drivers Employers Can’t Ignore
As employers face rapidly rising health insurance costs for their employees, industry pundits are increasingly urging benefit leaders to confront "stealth" cost drivers that quietly inflate spending year after year. While headline issues like premium increases draw the most attention, some
Seven Tips for Avoiding High Medical Bills
When people sign up for a new health insurance plan, be that an employer-sponsored plan or one purchased on the Affordable Care Act (ACA) exchange, they can often be confused about when coverage starts, what is covered and whether they