Benefits Think

Leaders should evaluate where AI truly needed, prioritize employee input and continuously measure results.

Between 70% to 90% of benefits carrier invoices contain at least one discrepancy. AI can help identify them, avoiding high-cost losses.

Setting clear expectations and equipping health plan members with usable information will build trust and eliminate employee friction in the face of change. 

Prioritizing quality over convenience leads to lower rates of complications and less overall healthcare spend.

When volatility is visible, it gets priced appropriately and the groups that aren't volatile can actually see better pricing as a result.

A look at traditional PBMs and pass-through models, potential savings areas, developments and partnering with the right consultant.

Part one of this two-part series looks at the background, transparency solutions and how to understand PBM profitability.

AI can do more than generate hyper-realistic images and automate mundane tasks. It can also accelerate capability-building.

In order for these types of plans to be successful, they need to be both cost and operationally efficient.

In a data-driven healthcare economy, benefits stewardship must ensure the health plan isn't disregarding dollars it is contractually entitled to recover.