If you’ve been considering a self funded health insurance plan, you may have come across the term Pharmacy Benefit Manager (PBM), and thought what’s that? A Roundstone self funded health insurance plan breaks out the total cost you would normally pay for a fully insured plan into the components needed […]
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By: Nate Szabo, Cost Containment Consultant High drug costs affect more than just the individuals filling their prescriptions each month. Employers offering private health insurance and benefits to their employees take on much of the expense associated with high pharmacy bills. In fact, over the last two years, […]
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We introduced the Roundstone Cost Saving Investigators (CSI Team) to help employers optimize the value of transparency and control. The CSI Team is always looking for ways to help employers maximize their self-funding benefits by providing cost saving solutions that can be implemented into their health plan. We want to […]
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Specialty drugs are typically high dollar medications. Many specialty drugs can be administered in a hospital setting, outpatient setting, and at home, but not all suppliers charge the same. A claimant who obtains the specialty drug from the hospital pharmacy, and not their listed specialty pharmacy, often pays triple […]
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Expenditures on prescription drugs are currently one of the fastest rising costs within the healthcare industry. The majority of the growth in drug spend is related to rising prices. In 2016, the U.S. Department of Health & Human Services identified two trends in drug spend consistent with what we […]
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