Category: Industry Trends

Oncology is a Top Cost Driver for Self-Funded Plans

Oncology is now the top driver of health care costs for self-funded employers — not cardiovascular disease, not diabetes, not mental health. Cancer. An estimated 2.1 million new cancer cases are projected for 2026. Six of the top ten cancers, including breast, prostate, and colorectal, are rising in populations under

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Leader in AI-driven health benefits navigation Healthee partners with Northwind

A game-changer for employers looking to cut costs and gain control With healthcare costs continuing to rise, employers are seeking new ways to rein in spending without sacrificing the quality of benefits. This partnership enables Healthee clients to optimize prescription drug management, reducing costs through preferable generic drug pricing, high-touch

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Healthcare Storm 2025: What Will It Be?

When it comes to American healthcare, we’ve become really good at highlighting its failings. Watching the flurry of lamentations, frustrations, denigrations, and prognostications, over the last few weeks, would lead any rational person to believe that nothing is working in our healthcare system. And, not only is it “not working,”

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New Drugs to Market – October Update

The Food and Drug Administration (FDA) approved three novel drug therapies in October. One of those therapies,  Hympavzi (marstacimab-hncq), is a medication indicated for the treatment of patients with Hemophilia A and Hemophilia B. Hympavzi utilizes a new pathway to help reduce the risk of bleeding episodes in patients with

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The PBM Conflagration Marks the Beginning of Healthcare’s Center-of-Gravity Shift

Waiting for my turn to present at recent health system executive conference, I noticed that presentations before mine spent a significant amount of time lamenting “payers” and “reimbursements.” Strategies and solutions to address these challenges centered on cutting costs, pooling resources to increase negotiating leverage, lobbying, and aligning with larger

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The Changing Employer Perspective on Healthcare

If you don’t stand for something, you’ll fall for anything. Alexander Hamilton The Power of a Point of View What shapes how we see the world? Our knowledge of it. Our assumptions. Our experience. These things frame our point of view. They encompass the span of reality as we see

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A Programmatic Approach to Leveraging Anti-Obesity Medications

Self-funded plan sponsors face a critical stewardship decision around member demand for highly effective, and costly, anti-obesity medications. To cover or not to cover? The effectiveness of the medications makes the decision more complex as it highlights the role and the responsibility of the plan to be a good steward

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NORTHWIND ACQUIRES HEALTH BENEFIT ADMINISTRATOR QVI RISK SOLUTIONS

INDIANAPOLIS, April 28, 2023 – Northwind has announced the acquisition of QVI Risk Solutions, a health benefit administrator based in Bend, Oregon. “The self-funded employers, unions, advisors, and healthcare providers, with whom we work, feel that the economic and experiential value of healthcare has become disordered,” said Phillip Berry, CEO.

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