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How to Respond to the UC Health & Anthem Contract Dispute

September 25, 2023

In what is a regular occurrence between health systems and insurance carriers, Anthem, Inc. and UC Health, including UCLA Health, have yet to reach a contract agreement for 2024. As things stand today, Anthem members would lose UC Health Systems as in-network providers effective January 1, 2024, including health systems such as: UC Los Angeles UC San Diego …

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The Value of Culturally Sensitive Healthcare: How Employers Can Enhance Outcomes for People of Color and Black Communities

September 13, 2023

In recent years, the healthcare industry has made significant strides toward providing more equitable care for all individuals. However, disparities in healthcare outcomes still persist, particularly for people of color and black communities. Just look at recent news about a difficult pregnancy for Serena Williams and the prepartum death of Torie Bowie for proof. “Black …

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Gene Therapy Drug Updates

September 4, 2023

Gene therapy drugs are pharmaceutical products designed to treat or alleviate genetic disorders by modifying or correcting the underlying genetic mutations that cause these conditions. Gene therapy involves introducing, altering, or repairing genetic material within a patient’s cells to address the root cause of a disease. There are different approaches and technologies used in gene …

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Update on the PBM Market

August 21, 2023

Last week, Blue Shield of California announced the end of a 15-year partnership with CVS Health’s pharmacy benefits manager Caremark, in favor of new partnerships to provide access to affordable prescription drugs. For now, Blue Shield is betting on a predicted $500M in annual savings by switching to Mark Cuban Cost Plus Drugs Company (MCCPDC) …

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The Value of Offering Virtual Mental and Behavioral Health to Employees

July 18, 2023

In offering benefits such as a health insurance plan, an employer is looking to build trust and differentiate itself in the market for labor. Quality health coverage is important to employees since it impacts the health of themselves and their families. And strong benefits differentiate your job offer in the marketplace so prospective employees see …

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Low-Cost, High ROI Benefits to Implement in your Workforce.

May 30, 2023

With the expected cost of medical benefits in the fully insured marketplace to nearly double in the next four years, employers are looking for low-cost solutions to retain and attain top talent. Based on a survey, highly satisfied employees say they are more likely to stay if better benefits are provided, 43% of all employees …

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How to Improve Your Employee’s Mental and Behavioral Health

May 16, 2023

Interested in a free webinar with practical tips and strategies to support your employees’ mental health? Join John and representatives from Health Action Alliance / Mental Health Action Day and the American Foundation for Suicide Prevention next Tuesday for a jam-packed session on mental health and the workplace!

What is a Self-Funded Voluntary Benefit Plan?

May 2, 2023

You are probably familiar with voluntary benefits – if you’ve watched a sports game or turned on the TV recently, you’ve probably seen an ad from Aflac, Allstate, and others. But you may not be familiar with how these plans are financed exactly. And if you’re a real finance and insurance nerd who is familiar …

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What Self-Funding Rates by State Tell Us About Health Insurance

April 4, 2023

We work with employers who use a variety of funding methods for their employee benefit plans. Some groups may use fully-insured health insurance plans from carriers, and others may self-fund their employee health plans with stop-loss insurance and captive managers. We work with groups in and out of California, and it’s interesting to see state …

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