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Access to prescription drugs is more challenging for consumers buying insurance through the exchanges than those covered by employer-sponsored insurance plans, an analysis by Avalere Health finds.
Administrative hurdles, dubbed utilization management controls, are more likely to be used by plans in the exchanges as an attempt to limit access to certain drugs or encourage the use of lower cost generic drugs.
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While the legislation's future is still unclear, there are many important things for leaders to know.
Employers face another steep rise in healthcare expenses in 2027, prompting a closer look at GLP-1 coverage, pharmacy spending and high-cost conditions.
In addition to finding success with a self-funded model, an in-house program gives Fello's employees access to cost-free primary and urgent care.
A financial spreadsheet alone cannot capture the total value and performance of a benefits program, nor can numbers on a ledger guarantee long-term operational success.
The health and welfare leader and 2026 Excellence in Benefits honoree is guiding the bank in navigating them all.
