Nightly Data Can Cut Healthcare Costs

Access to nightly data does more than just minimize costs. It allows case managers to identify needed treatments in real time to help patients feel more secure.

Apr 02, 2020

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3 min read

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How effective has the new requirement for hospitals to publish procedure costs been in improving price transparency?

Before diving into this one, here’s a little background on the topic. As a potential solution for improving price transparency in health care, a new federal requirement went into effect on January 1. It states that all hospitals operating in the U.S. must post prices online for the...

Jul 25, 2019

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2 min read

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How can benefit plans gain some control over the high cost drivers in health care?

This is an age-old question that we’ll probably be asking for years – decades even – to come. But before we tackle the how, I think we have to first consider the what … as in “what’s driving costs so high?” A recent report from Milliman sheds some light on...

Jun 27, 2019

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2 min read

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Is any progress being made with drugmakers in containing rising prescription costs?

As frustration has been mounting among groups like consumers, providers, employers and lawmakers for some time now, the system for prescription drug pricing is being described as “broken.” It’s an issue that, without government having more control over, is affecting health plans everywhere and making those much-dreaded announcements of needing...

Jun 06, 2019

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2 min read

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What should employers be aware of when tying incentives to health screenings / workplace wellness programs?

Incentive-based health screenings and wellness programs have become a pretty widespread tactic among employers these days. The goal with these efforts is win-win in trying to promote a healthier workforce and lower employee benefit costs. But for as well-intended as these programs typically are, some are coming up short in...

May 28, 2019

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2 min read

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What factors are currently trending as most important to employees when it comes to their health plan benefits?

I’m quite confident in saying the answer to this will vary from person to person, but there are some generally universal essentials. In health care, we’re always talking about the financial impact of services and ways to contain costs, so that’s definitely top of mind across the board. Quality...

Apr 03, 2019

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1 min read

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How do issues of medication management factor into prescription costs with health plans?

Ask just about any employer who offers a health plan, and a common frustration is the growing cost of prescription drugs. Reducing this expense is far from a simple fix, though. It requires a multi-prong approach, and educating members about medication management is one essential aspect of it. With the number...

Mar 20, 2019

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1 min read

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Are there any effective ways for health plans to manage today’s high-cost cancer treatments?

According to research shared by the American Cancer Society, an estimated $80.2 billion was spent in just one year on cancer-related health care in the U.S. If you take things like labs, diagnostic imaging, provider visits, drug costs, surgical costs and extended hospital stays into account, it’s easier to understand...

Sep 26, 2018

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2 min read

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Why is medical necessity a factor when reviewing health claims?

As employers work to get more control of the health plan dollars they’re spending, closer claim review has become a key strategy. Medical necessity factors into this as it’s one area where excess spending is occurring on a regular basis. Unfortunately, in today’s society, there’s a trend toward overutilization in care:...

Jul 12, 2018

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2 min read

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What will the prescription drug cost picture look like in 2018?

If you missed the number that many sources were reporting last year, it’s predicted that prescription drug spending could reach as high as $610 billion by 2021. Hard to fathom such an enormous total, isn’t it? We’re seeing health care expenditures rising in all sectors, but prescription drug costs are...

Feb 21, 2018

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2 min read

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