ERISA requires Employers to find the lowest cost for HC – not the best outcomes

Who put those requirements in place?  The LOWEST COST FOR HEALTHCARE WILL PROVIDE THE BEST PT OUTCOME? Mark Cuban’s big warning for employers https://www.beckerspayer.com/workforce/mark-cubans-big-warning-for-employers.html Mark Cuban is issuing a big warning to self-insured employers: If your company receives pharmacy rebates through employee benefits, prepare for an eventual lawsuit. “It’s not a question of if, it’s […]

Could PBM’s policies end up harming and killing pts?

PBMs Overpay Their Own Pharmacies to the Detriment of Insurers, Taxpayers, FTC Says https://www.medpagetoday.com/pharmacy/pharmacy/111338 You’re busier from open to close, but making less than you did the last year, every year Cash crunch pushes independents to the brink, data shows PBMs the cause Pharmacy benefit managers (PBMs) often reimburse their own affiliated pharmacies at higher […]

United Healthcare launching national gold-card program

IMO, it will end up being referred to as the “National Gold Mine Program”. After UHC gets a full complement of provider groups to sign on to the program. The providers will discover that UHC took all the “gold” out of the mine and left the provider groups with “THE SHAFT” UnitedHealthcare launching national gold-card […]