by mike | Jun 15, 2023 | Newsletters
By Bill Frack, Chief Product Officer and Mike Maley, Head of Product Situation The journey to treat cancer is arduous, complicated and expensive. Cancer care is the leading category of cost for high-cost claimants in many employers’ health plans. Effective cancer care...
by mike | May 16, 2023 | Newsletters
Situation Who doesn’t love a good discount? There’s a reason why rebates have been around for over a century! Just as with common consumer goods, the pharmacy benefit manager model with up to 30% rebates appeals to our sense of shopping savvy. Through RFP processes,...
by mike | May 15, 2023 | Newsletters
By Austin Johnson, Customer Success Team Lead Situation Stoploss reimbursements are critical to self-insured employers to mitigate the cost of catastrophic claims and to smooth out related financial shocks. Since 2012, the incidence of claims exceeding $1MM more than...
by mike | May 14, 2023 | Newsletters
Situation At the beginning of the COVID-19 pandemic, not just patients and providers were thrown into disarray. Health plan vendors and administrators were scrambling to define the impact of Covid on their health plan costs – current and future – namely which costs...
by mike | May 13, 2023 | Newsletters
By Jake Steepleton, Rx Product Specialist Situation Specialty drug expenditure has been growing by leaps and bounds at 7.4% per annum due to aggressive price increases and new specialty drugs hitting the market. As of 2021, specialty drugs account for half of total...
