Pharmacy Benefit Managers (PBMs) make money through various revenue streams and business models. Here are the primary ways PBMs generate revenue: Pharmacy Benefit Managers: Revenue Game 1. Spread Pricing: Reimbursement Model: PBMs negotiate pricing contracts with pharmacies and payers, including health insurance plans and employers. Markup: PBMs reimburse pharmacies at one rate and charge the […]
read more
High-performance networks in an employer-sponsored health plan refer to networks of healthcare providers that have been selected based on their ability to deliver quality care at lower costs compared to other providers. These networks are designed to improve healthcare outcomes and reduce expenses for both employers and employees. Here are some characteristics of high-performance networks […]
read more
Mеrеly providing a gеnеrous salary is no longer sufficient. Today’s job sееkеrs sееk еmploymеnt with inclusivе organizations that not only offer compеtitivе salariеs and bеnеfits but also fostеr inclusivе company culturеs and providе abundant carееr dеvеlopmеnt opportunitiеs. Additionally, they prioritizе companies aligning with their goals and values. Employее bеnеfits technology should bе mindful of thеsе […]
read more
In the ever-evolving landscape of employee health benefits, employers are constantly seeking innovative solutions to provide comprehensive and affordable coverage while aligning with their financial goals. Among the emerging options, Individual Coverage Health Reimbursement Accounts (ICHRAs) and Qualified Small Employer Health Reimbursement Arrangements (QSEHRAs) have gained significant traction. ICHRA vs QSEHRA: A Comparative Overview While […]
read more
