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Thought Leadership on Health Insurance

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February 2025
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Day: February 25, 2025

Challenges with Ineffective PBM Clinical Management for Specialty Drugs

“Is your PBM’s Prior Authorization – promise to perform – a myth, a fictional novel with a sad ending, entitled ‘Gone With The Wind’ or is it active, robust and effective? The answer may surprise you.” – Bill Rusteberg

Continue reading Challenges with Ineffective PBM Clinical Management for Specialty Drugs
Posted on February 25, 2025February 25, 2025Categories Uncategorized

High Hospital Reimbursements Are Bad For Our Health

“This fact illustrates that high employer reimbursements are enabling most hospital systems in America to remain reactive and not focused on preventing disease. Only when those high employer reimbursements are scarce will hospitals change.”

Continue reading High Hospital Reimbursements Are Bad For Our Health
Posted on February 25, 2025February 25, 2025Categories Uncategorized

Why Is Selling in Healthcare So Hard??

By Eric Bricker

Why Is Selling in Healthcare So Hard?? Digital healthcare startups and healthcare services companies that sell to employers have a difficult time selling because it is a complex business-to-business (B2B) sale.

Continue reading Why Is Selling in Healthcare So Hard??
Posted on February 25, 2025February 25, 2025Categories Uncategorized

Government Investigates UnitedHealthcare

Federal government examining whether insurance giant is illegally raising Medicare program users’ monthly payments.

Continue reading Government Investigates UnitedHealthcare
Posted on February 25, 2025February 25, 2025Categories Uncategorized
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