Moving medications to the pharmacy benefit won’t win prizes for innovation or box-departing thinking. The fact is that it has been talked about for years, but it’s not so easy to do. What’s changed? Insurers are more intent on finding a solution for something that can bust their budgets.
He asked the questions for our Q&As. The movers and shakers provided the answers. Now it’s John’s turn. He recalls when Newt Gingrich told him in 2005 that everyone should be required to purchase health care, discusses the erosion of insurance through high-deductible health plans, and more.
Constantly talked about but largely unchecked, obesity is one of the two leading causes of preventable death in the United States. Smoking is the other. This complex problem resists the quick fix, and health plans must carefully gauge the ROI of their weight-management efforts.
Researchers dive into a heated debate when they conclude that community-based tests for carotid artery stenosis, peripheral arterial disease, and abdominal aortic aneurysm cut costs. The savings are due to the avoidance of very costly emergency and/or major medical procedures once latent disease becomes symptomatic.