Validating Pharmacy Savings Programs

Validating Pharmacy Savings Programs

Americans spent $328 billion on prescription drugs in 2020, eight percent of total healthcare spend. The rising cost of medications is motivating employers, especially those who are self-funded, to invest in pharmacy savings programs. A popular type of pharmacy...
Navigating Gene Therapies

Navigating Gene Therapies

Research on gene-therapies began in 1960 with the hypothesis that introducing DNA sequences into patients’ cells could cure genetic disorders. Decades of research have made these therapies a reality with current treatments for spinal muscular atrophy...
A Primer on J Codes

A Primer on J Codes

High-cost prescription drugs have been wreaking havoc on pharmacy plan budgets for over a decade. However, did you know that drugs costs also affect medical plan costs? Drugs are billed in either the medical or pharmacy channel of a plan. Medications that the patient...
Trends to Follow in 2022

Trends to Follow in 2022

This year saw a post-pandemic return to preventive care, the introduction of several biosimilars, and legislation governing healthcare transparency. However, stakeholders are still working to contain medical and pharmacy costs while providing high-level benefits to...