Did You Know?

Did you know 1 in 20 adult outpatients (12 million people) are misdiagnosed every year?! One in five – 20% – original diagnosis are totally WRONG! Check out this infographic!!  Health-Care-Out-of-Control  

30 Day Rx Cost Reduction Guide

We discuss the cost of medications all of the time. Reason being is that they cost so much. The more you know, the less you could spend on medication. Here is your 30 Day Rx Cost Reduction Strategies for the Month. Understanding Rx Rebates – learn how much drug manufacturer’s rebates to health plans cost […]

OTC Covid-19 Test Covered by Health Plans

As of January 15, 2022, the cost of over the counter Covid-19 tests has to be covered by health plans. Even if they are obtained without the involvement of a health care provider. The FAQ guidance issued by the COL, HHS and Treasury Department do not require tests to be covered if they are not […]

Did You Know?

Did you know that only 30% of doctors are independent? That is big drop from 20 years ago when it was at 57%. Did you know that 50% of doctors are employed by hospital systems with 20% employed by private equity firms or health insurance companies. Did you also know 43% of internal medicine physicians […]

Updated Guidance on Covid-19 Vaccines

On September 30, 2021 and October 4, 2021, respectively, the Department of Health and Human Services (HHS) and the Department of Labor (DOL) issued updated guidance regarding Covid-19 vaccinations. The HHS guidance specifically relates to recent questions regarding the HIPAA Privacy Rule. The new FAQ’s provide that HIPAA does not prohibit businesses or individuals from […]

5 Pharmacy Benefit Insights to Share with Employees

The last thing an HR professional wants is unhappy plan members when their prescription prices suddenly change or are no longer covered. Here are five suggestions to share with employees during this time of year. These are simple ideas to keep in mind to maximize the member experience: Location, Location, Location – Not all pharmacies […]

The Annual Autumn Dance

Although the weather is still warm, autumn has arrived. With the cool nights and changing leaves, comes the annual dance called health plan renewal. Have you ever heard that 8% is the best we can do or we are happy to report we negotiated the renewal down to 6%? Well, your financial advisor would tell […]

Good News for Nebraskans!

Did you know that Nebraska, along with 13 other states, tax Social Security income. Here is good news for Nebraskans. Nebraska will phase out the tax beginning this year with a reduction of 5%. The state currently exempts state tax for married couples earning less than $59,100 a year. For single individuals, those making less […]

Important Covid-19 Update

September 9, 2021, President Biden released a Covid-19 action plan outlining a six-point strategy that is “to ensure we are using every available tool to combat Covid-19 and save even more lives in the months ahead”. We are unsure of when the plan will be finalized, so more details to come. The following are the […]

Does enrolling in Medicare trigger an offer of COBRA?

Enrolling in #Medicare does not cause COBRA to start. Under the federal rules, COBRA must be offered to persons enrolled in the employer’s health plan only if… To read more, click on the following link: Does enrolling in Medicare trigger an offer of COBRA?