Delivery and Payment Reform Archives | National Alliance of Healthcare Purchaser Coalitions Wed, 06 Aug 2025 15:05:19 +0000 en-US hourly 1 https://wordpress.org/?v=6.8.2 https://www.nationalalliancehealth.org/wp-content/uploads/Favicon_NAH.png Delivery and Payment Reform Archives | National Alliance of Healthcare Purchaser Coalitions 32 32 Health Policy in Transit: July Health Policy Updates https://www.nationalalliancehealth.org/resources/health-policy-in-transit-july-health-policy-updates/ Tue, 05 Aug 2025 21:00:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=20577 Download the full Health Policy in Transit document below to learn more.

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]]> What’s Leading Healthcare Costs? https://www.nationalalliancehealth.org/news/20450/ Tue, 08 Jul 2025 13:38:10 +0000 https://www.nationalalliancehealth.org/?p=20450 The post What’s Leading Healthcare Costs? appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Find out how Shawn Gremminger is urging us to rethink healthcare costs today https://www.nationalalliancehealth.org/news/find-out-how-shawn-gremminger-is-urging-us-to-rethink-healthcare-costs-today/ Mon, 07 Jul 2025 13:24:46 +0000 https://www.nationalalliancehealth.org/?p=20444 The post Find out how Shawn Gremminger is urging us to rethink healthcare costs today appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Support builds for employers’ healthcare rescue role https://www.nationalalliancehealth.org/news/support-builds-for-employers-healthcare-rescue-role/ Thu, 03 Jul 2025 13:45:22 +0000 https://www.nationalalliancehealth.org/?p=20408 The post Support builds for employers’ healthcare rescue role appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Understanding Health Care Pricing https://www.nationalalliancehealth.org/news/understanding-health-care-pricing-2/ Thu, 03 Jul 2025 13:27:53 +0000 https://www.nationalalliancehealth.org/?p=20446 The post Understanding Health Care Pricing appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Plans Agree to Prior Auth Reform. Physicians and Business Groups Want Measurable Results https://www.nationalalliancehealth.org/news/plans-agree-to-prior-auth-reform-physicians-and-business-groups-want-measurable-results/ Tue, 24 Jun 2025 15:58:56 +0000 https://www.nationalalliancehealth.org/?p=20345 The post Plans Agree to Prior Auth Reform. Physicians and Business Groups Want Measurable Results appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Is Mark Cuban the Loudmouth Billionaire that Democrats Need for 2028? https://www.nationalalliancehealth.org/news/is-mark-cuban-the-loudmouth-billionaire-that-democrats-need-for-2028/ Tue, 17 Jun 2025 15:55:33 +0000 https://www.nationalalliancehealth.org/?p=20343 The post Is Mark Cuban the Loudmouth Billionaire that Democrats Need for 2028? appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Healthcare Leaders Warn GOP Plan Would Deeply Chip Away At Medicaid Access https://www.nationalalliancehealth.org/news/healthcare-leaders-warn-gop-plan-would-deeply-chip-away-at-medicaid-access/ Mon, 12 May 2025 14:45:12 +0000 https://www.nationalalliancehealth.org/?p=20100 The post Healthcare Leaders Warn GOP Plan Would Deeply Chip Away At Medicaid Access appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Could value-based care help RI’s primary care crisis? Why some doctors made the change https://www.nationalalliancehealth.org/news/could-value-based-care-help-ris-primary-care-crisis-why-some-doctors-made-the-change/ Tue, 06 May 2025 19:12:00 +0000 https://www.nationalalliancehealth.org/?p=20082 The post Could value-based care help RI’s primary care crisis? Why some doctors made the change appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Trump Order Risks Triggering Lawsuits Over Drug Consulting Fees https://www.nationalalliancehealth.org/news/trump-order-risks-triggering-lawsuits-over-drug-consulting-fees/ Fri, 18 Apr 2025 02:19:00 +0000 https://www.nationalalliancehealth.org/?p=19698 The post Trump Order Risks Triggering Lawsuits Over Drug Consulting Fees appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Lawmakers expected to vote on bill addressing federal drug program https://www.nationalalliancehealth.org/news/lawmakers-expected-to-vote-on-bill-addressing-federal-drug-program/ Thu, 17 Apr 2025 13:52:23 +0000 https://www.nationalalliancehealth.org/?p=19700 The post Lawmakers expected to vote on bill addressing federal drug program appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Reimagining value-based care to unlock quality care https://www.nationalalliancehealth.org/news/reimagining-value-based-care-to-unlock-quality-care/ Mon, 14 Apr 2025 21:00:39 +0000 https://www.nationalalliancehealth.org/?p=19596 The post Reimagining value-based care to unlock quality care appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> The Latest National Alliance Tools and Resources https://www.nationalalliancehealth.org/resources/latest-national-alliance-tools-and-resources/ Fri, 11 Apr 2025 21:03:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=14395 Action-oriented recommendations for coalitions, employers and other plan sponsors, and healthcare and benefits professionals.

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]]> Summary of National Alliance Resources https://www.nationalalliancehealth.org/resources/2025-national-alliance-resources-summary/ Fri, 11 Apr 2025 20:59:42 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=19583 A summary of the latest National Alliance resources.

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]]> Mark Cuban’s legacy play https://www.nationalalliancehealth.org/news/mark-cubans-legacy-play/ Thu, 10 Apr 2025 21:04:44 +0000 https://www.nationalalliancehealth.org/?p=19602 The post Mark Cuban’s legacy play appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> 340B Program Is Driving Up Costs and Needs Urgent Reform | AMCP Annual 2025 https://www.nationalalliancehealth.org/news/340b-program-is-driving-up-costs-and-needs-urgent-reform-amcp-annual-2025/ Mon, 07 Apr 2025 21:01:25 +0000 https://www.nationalalliancehealth.org/?p=19598 The post 340B Program Is Driving Up Costs and Needs Urgent Reform | AMCP Annual 2025 appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Chronic Kidney Disease (CKD) Resource Kit https://www.nationalalliancehealth.org/resources/chronic-kidney-disease-ckd-resource-kit/ Thu, 03 Apr 2025 21:29:29 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=19558 Recent advancements in the screening, diagnosis, and treatment of kidney disease have created an unprecedented opportunity for employers and other plan sponsors to intervene earlier to delay or prevent progression […]

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]]> Seeing Through Opaque PBM Processes to Clear Employer Management https://www.nationalalliancehealth.org/news/seeing-through-opaque-pbm-processes-to-clear-employer-management/ Thu, 03 Apr 2025 21:03:29 +0000 https://www.nationalalliancehealth.org/?p=19600 The post Seeing Through Opaque PBM Processes to Clear Employer Management appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Patients and Employers Support This GOP Budget Cut. Hospitals Say It’s Too Risky. https://www.nationalalliancehealth.org/news/patients-and-employers-support-this-gop-budget-cut-hospitals-say-its-too-risky/ Tue, 01 Apr 2025 19:37:17 +0000 https://www.nationalalliancehealth.org/?p=19538 The post Patients and Employers Support This GOP Budget Cut. Hospitals Say It’s Too Risky. appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> New Study Reinforces Impact of 340B Drug Pricing Program on Rising Healthcare Costs for Employers – Roughly $36 Billion a Year in Extra Hospital Spending https://www.nationalalliancehealth.org/news/new-study-reinforces-impact-of-340b-drug-pricing-program-on-rising-healthcare-costs-for-employers-roughly-36-billion-a-year-in-extra-hospital-spending/ Tue, 01 Apr 2025 11:41:39 +0000 https://www.nationalalliancehealth.org/?p=19531 Analysis finds commercial prices much higher at large 340B hospitals, adding to other program cost drivers like lost rebates, drug markups, distorted prescribing patterns and consolidation WASHINGTON – April 1, […]

The post New Study Reinforces Impact of 340B Drug Pricing Program on Rising Healthcare Costs for Employers – Roughly $36 Billion a Year in Extra Hospital Spending appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Healthy Workforces, Sustainable Futures: Why Employers Should Invest in Early Kidney Care https://www.nationalalliancehealth.org/resources/benefits-employers-investing-in-early-kidney-care/ Fri, 28 Mar 2025 19:34:44 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=19501 Recent advancements in the screening, diagnosis, and treatment of chronic kidney disease (CKD) have created an unprecedented opportunity for employers to be a part of vital efforts to intervene earlier to delay or prevent progression to kidney failure (also known as end-stage renal disease or ESRD).

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]]> Even ‘good’ employers face rising risk of lawsuits over health plan costs https://www.nationalalliancehealth.org/news/even-good-employers-face-rising-risk-of-lawsuits-over-health-plan-costs/ Fri, 28 Mar 2025 13:06:55 +0000 https://www.nationalalliancehealth.org/?p=19507 The post Even ‘good’ employers face rising risk of lawsuits over health plan costs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Health benefits company co-founded by Dr. Oz could be a conflict of interest https://www.nationalalliancehealth.org/news/health-benefits-company-co-founded-by-dr-oz-could-be-a-conflict-of-interest/ Mon, 24 Mar 2025 13:10:30 +0000 https://www.nationalalliancehealth.org/?p=19482 The post Health benefits company co-founded by Dr. Oz could be a conflict of interest appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> NAHPC CEO: Souped-Up Value Assessment Entity A Much-Needed Rx Pricing Reform https://www.nationalalliancehealth.org/news/nahpc-ceo-souped-up-value-assessment-entity-a-much-needed-rx-pricing-reform/ Tue, 18 Mar 2025 13:11:02 +0000 https://www.nationalalliancehealth.org/?p=19484 The post NAHPC CEO: Souped-Up Value Assessment Entity A Much-Needed Rx Pricing Reform appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Guest columnist: Federal 340B program needs dose of transparency in Ky. https://www.nationalalliancehealth.org/news/guest-columnist-federal-340b-program-needs-dose-of-transparency-in-ky/ Mon, 17 Mar 2025 13:14:33 +0000 https://www.nationalalliancehealth.org/?p=19486 The post Guest columnist: Federal 340B program needs dose of transparency in Ky. appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Panelists Detail How Employers Can Demand More From PBM Contracts https://www.nationalalliancehealth.org/news/panelists-detail-how-employers-can-demand-more-from-pbm-contracts/ Fri, 14 Mar 2025 00:02:57 +0000 https://www.nationalalliancehealth.org/?p=19696 The post Panelists Detail How Employers Can Demand More From PBM Contracts appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> New Tools to Help Employers Ensure Compliance with Mental Health Parity and Addiction Equity Act Released https://www.nationalalliancehealth.org/news/new-tools-to-help-employers-ensure-compliance-with-mental-health-parity-and-addiction-equity-act-released/ Thu, 13 Mar 2025 13:49:39 +0000 https://www.nationalalliancehealth.org/?p=19416 National Alliance of Healthcare Purchaser Coalitions and Florida Alliance for Healthcare Value resources can help reduce non-compliance liability WASHINGTON – March 13, 2025 – As pressure increases for employers and […]

The post New Tools to Help Employers Ensure Compliance with Mental Health Parity and Addiction Equity Act Released appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Mental Health Parity Compliance for Employers/Healthcare Purchasers https://www.nationalalliancehealth.org/resources/mental-health-parity-compliance-for-employers/ Wed, 12 Mar 2025 22:58:39 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=19399 Employers/healthcare purchasers have a fiduciary responsibility to participants in their employee benefits plans to require their vendor partners to comply with the Mental Health Parity and Addiction Equity Act (MHPAEA), […]

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]]> Op-Ed: Federal 340B program needs dose of transparency in Ky https://www.nationalalliancehealth.org/news/op-ed-federal-340b-program-needs-dose-of-transparency-in-ky/ Mon, 03 Mar 2025 16:30:52 +0000 https://www.nationalalliancehealth.org/?p=19360 The post Op-Ed: Federal 340B program needs dose of transparency in Ky appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employers fear hospital rate hikes if GOP cuts Medicaid https://www.nationalalliancehealth.org/news/employers-fear-hospital-rate-hikes-if-gop-cuts-medicaid/ Fri, 28 Feb 2025 14:18:21 +0000 https://www.nationalalliancehealth.org/?p=19345 The post Employers fear hospital rate hikes if GOP cuts Medicaid appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Benefits group CEO stumps for PBM bills at House hearing https://www.nationalalliancehealth.org/news/benefits-group-ceo-stumps-for-pbm-bills-at-house-hearing/ Thu, 27 Feb 2025 20:38:34 +0000 https://www.nationalalliancehealth.org/?p=19337 The post Benefits group CEO stumps for PBM bills at House hearing appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> House Hearing on PBMs a Tale of Two Discussions https://www.nationalalliancehealth.org/news/house-hearing-on-pbms-a-tale-of-two-discussions/ Thu, 27 Feb 2025 14:36:27 +0000 https://www.nationalalliancehealth.org/?p=19349 The post House Hearing on PBMs a Tale of Two Discussions appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Trump Health Transparency Order Sparks Hope of Enforcement Boost https://www.nationalalliancehealth.org/news/trump-health-transparency-order-sparks-hope-of-enforcement-boost/ Thu, 27 Feb 2025 14:34:48 +0000 https://www.nationalalliancehealth.org/?p=19347 The post Trump Health Transparency Order Sparks Hope of Enforcement Boost appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Trump plans for Medicaid come up as House subcommittee deliberates on PBM reform https://www.nationalalliancehealth.org/news/trump-plans-for-medicaid-come-up-as-house-subcommittee-deliberates-on-pbm-reform/ Wed, 26 Feb 2025 20:44:27 +0000 https://www.nationalalliancehealth.org/?p=19342 The post Trump plans for Medicaid come up as House subcommittee deliberates on PBM reform appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Congress Turns Attention to PBM Reform, Sort of https://www.nationalalliancehealth.org/news/congress-turns-attention-to-pbm-reform-sort-of/ Wed, 26 Feb 2025 20:41:55 +0000 https://www.nationalalliancehealth.org/?p=19340 The post Congress Turns Attention to PBM Reform, Sort of appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance CEO Shawn Gremminger Testifies Before House Subcommittee on Energy and Commerce to Offer Employer Perspectives on PBM Reform https://www.nationalalliancehealth.org/news/national-alliance-ceo-shawn-gremminger-testifies-before-house-subcommittee-on-energy-and-commerce-to-offer-employer-perspectives-on-pbm-reform/ Wed, 26 Feb 2025 19:42:30 +0000 https://www.nationalalliancehealth.org/?p=19311 WASHINGTON – February 26, 2025 – High and rising costs of prescription drugs in the commercial market are one of the most pressing concerns for employers and purchasers across the […]

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]]> Employers seek healthcare price transparency to control costs https://www.nationalalliancehealth.org/news/employers-seek-healthcare-price-transparency-to-control-costs/ Mon, 24 Feb 2025 21:30:22 +0000 https://www.nationalalliancehealth.org/?p=19297 The post Employers seek healthcare price transparency to control costs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> PBM Misalignment Initiative: Final Report https://www.nationalalliancehealth.org/resources/pbm-misalignment-initiative-final-report/ Mon, 24 Feb 2025 19:25:28 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=19286 The National Alliance PBM Misalignment Initiative investigates and addresses misalignment between employers and their pharmacy benefit management (PBM) service providers.  Building on the 2023 PBM Playbook and other related resources, this final report […]

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]]> Trump’s IVF Coverage Goals Confront Congress, Industry Limits https://www.nationalalliancehealth.org/news/trumps-ivf-coverage-goals-confront-congress-industry-limits/ Thu, 20 Feb 2025 18:40:46 +0000 https://www.nationalalliancehealth.org/?p=19282 The post Trump’s IVF Coverage Goals Confront Congress, Industry Limits appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance Files Amicus Brief in Support of Johnson & Johnson 340B Drug Program Case https://www.nationalalliancehealth.org/news/national-alliance-files-amicus-brief-in-support-of-johnson-johnson-340b-drug-program-case/ Thu, 20 Feb 2025 18:25:31 +0000 https://www.nationalalliancehealth.org/?p=19274 WASHINGTON – February 20, 2025 – In keeping with its commitment to address healthcare costs and quality issues on behalf of employers and their employees across the United States, the […]

The post National Alliance Files Amicus Brief in Support of Johnson & Johnson 340B Drug Program Case appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> A proposed law could force California health insurers to explain claim denials https://www.nationalalliancehealth.org/news/a-proposed-law-could-force-california-health-insurers-to-explain-claim-denials/ Tue, 18 Feb 2025 13:57:36 +0000 https://www.nationalalliancehealth.org/?p=19253 The post A proposed law could force California health insurers to explain claim denials appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance Announces 2025 Federal Policy Priorities to Offer Relief for America’s Employers and Working Families https://www.nationalalliancehealth.org/news/national-alliance-announces-2025-federal-policy-priorities-to-offer-relief-for-americas-employers-and-working-families/ Tue, 11 Feb 2025 11:27:00 +0000 https://www.nationalalliancehealth.org/?p=19237 WASHINGTON – February 11, 2025 – In the past two decades, costs for employers offering healthcare coverage has more than doubled, while out-of-pocket expenses for employees is three times higher […]

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]]> Finding and sharing hospital prices with your audience https://www.nationalalliancehealth.org/news/finding-and-sharing-hospital-prices-with-your-audience/ Wed, 29 Jan 2025 18:37:11 +0000 https://www.nationalalliancehealth.org/?p=19279 The post Finding and sharing hospital prices with your audience appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employers outline health priorities under Trump https://www.nationalalliancehealth.org/news/employers-outline-health-priorities-under-trump/ Thu, 16 Jan 2025 17:14:36 +0000 https://www.nationalalliancehealth.org/?p=19019 The post Employers outline health priorities under Trump appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> How a Company Makes Millions Off a Hospital Program Meant to Help the Poor https://www.nationalalliancehealth.org/news/how-a-company-makes-millions-off-a-hospital-program-meant-to-help-the-poor/ Wed, 15 Jan 2025 19:04:56 +0000 https://www.nationalalliancehealth.org/?p=18999 The post How a Company Makes Millions Off a Hospital Program Meant to Help the Poor appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Show us Your Prices | Predictions for 2025 https://www.nationalalliancehealth.org/news/show-us-your-prices-predictions-for-2025/ Tue, 14 Jan 2025 19:02:34 +0000 https://www.nationalalliancehealth.org/?p=18997 The post Show us Your Prices | Predictions for 2025 appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> How Can Employers Manage Rising Healthcare Costs in 2025? https://www.nationalalliancehealth.org/news/how-can-employers-manage-rising-healthcare-costs-in-2025/ Tue, 07 Jan 2025 20:38:11 +0000 https://www.nationalalliancehealth.org/?p=18118 The post How Can Employers Manage Rising Healthcare Costs in 2025? appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Where smaller PBMs are headed this year https://www.nationalalliancehealth.org/news/where-smaller-pbms-are-headed-this-year/ Tue, 07 Jan 2025 01:48:38 +0000 https://www.nationalalliancehealth.org/?p=18115 The post Where smaller PBMs are headed this year appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> The 2025 BenefitsPRO health benefits predictions almanac https://www.nationalalliancehealth.org/news/the-2025-benefitspro-health-benefits-predictions-almanac/ Mon, 30 Dec 2024 17:34:26 +0000 https://www.nationalalliancehealth.org/?p=18108 The post The 2025 BenefitsPRO health benefits predictions almanac appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> How Can Self-Insured Employers Identify Ways to Rein in Healthcare Costs? https://www.nationalalliancehealth.org/news/how-can-self-insured-employers-identify-ways-to-rein-in-healthcare-costs/ Fri, 20 Dec 2024 00:39:59 +0000 https://www.nationalalliancehealth.org/?p=18015 The post How Can Self-Insured Employers Identify Ways to Rein in Healthcare Costs? appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> PBM Reform is Part of Congress’ End of Year Bill https://www.nationalalliancehealth.org/news/pbm-reform-is-part-of-congress-end-of-year-bill/ Wed, 18 Dec 2024 00:48:15 +0000 https://www.nationalalliancehealth.org/?p=18019 The post PBM Reform is Part of Congress’ End of Year Bill appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Putting patients first: Workers suffer when their employers lack critical information about PBMs https://www.nationalalliancehealth.org/news/putting-patients-first-workers-suffer-when-their-employers-lack-critical-information-about-pbms/ Sat, 07 Dec 2024 00:49:50 +0000 https://www.nationalalliancehealth.org/?p=18021 The post Putting patients first: Workers suffer when their employers lack critical information about PBMs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> 5 pillars that underpin payer population health strategies https://www.nationalalliancehealth.org/news/5-pillars-that-underpin-payer-population-health-strategies/ Fri, 06 Dec 2024 00:51:08 +0000 https://www.nationalalliancehealth.org/?p=18023 The post 5 pillars that underpin payer population health strategies appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Getting to Hospital Fair Price https://www.nationalalliancehealth.org/resources/getting-to-hospital-fair-price-video/ Wed, 27 Nov 2024 20:40:06 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=17877 In this video, we explore how new data transparency highlights the crucial role hospital prices play in escalating healthcare spending, and why policy change, not reliance on health systems and […]

The post Getting to Hospital Fair Price appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance Hill Visits 2024 https://www.nationalalliancehealth.org/resources/national-alliance-hill-visits-2024/ Thu, 21 Nov 2024 15:00:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=19363 The following one-page resources on 340B, PBM reform, combating high and rising hospital prices, were presented during the National Alliance Hill visits in November 2024.

The post National Alliance Hill Visits 2024 appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> ‘Qualified’ or ‘quack’? Hill debates Oz CMS pick. https://www.nationalalliancehealth.org/news/how-cfos-can-get-ready-for-an-ipo-in-2025-2/ Wed, 20 Nov 2024 16:04:44 +0000 https://www.nationalalliancehealth.org/?p=17874 The post ‘Qualified’ or ‘quack’? Hill debates Oz CMS pick. appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Case Studies: Coalitions and Employers are Disrupting the PBM Misalignment Status Quo https://www.nationalalliancehealth.org/resources/pbm-misalignment-case-studies/ Mon, 18 Nov 2024 19:23:40 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=17808 The National Alliance is continuously exploring how misalignment between employer needs and PBM service provider value propositions have affected employers and other and plan sponsors. There is growing risk for […]

The post Case Studies: Coalitions and Employers are Disrupting the PBM Misalignment Status Quo appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Rethinking How Employers Address High-Cost Claims https://www.nationalalliancehealth.org/resources/managing-high-cost-claims-2/ Sat, 16 Nov 2024 00:17:14 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=17804 High-cost claims have emerged as one of the most significant financial threats to employer-sponsored healthcare. This resource and the National Alliance High-Cost Claims Initiative assists employers/plan sponsors in managing the […]

The post Rethinking How Employers Address High-Cost Claims appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Pharmacy Benefit Management Misalignment: Vendor Engagement Template https://www.nationalalliancehealth.org/resources/pbm-vendor-engagement-template/ Fri, 15 Nov 2024 18:52:34 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=17771 As the pharmacy benefit management industry undergoes the most significant transformation in decades, employers are at the forefront of driving change. This vendor engagement template equips them with information to […]

The post Pharmacy Benefit Management Misalignment: Vendor Engagement Template appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Many Americans Unable to Afford Medications, Navitus Survey Finds https://www.nationalalliancehealth.org/news/many-americans-unable-to-afford-medications-navitus-survey-finds/ Tue, 12 Nov 2024 19:34:43 +0000 https://www.nationalalliancehealth.org/?p=17733 The post Many Americans Unable to Afford Medications, Navitus Survey Finds appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employers Shift to Equity-Focused Strategies as Health Costs Outpace Wages https://www.nationalalliancehealth.org/news/employers-shift-to-equity-focused-strategies-as-health-costs-outpace-wages/ Thu, 31 Oct 2024 13:34:40 +0000 https://www.nationalalliancehealth.org/?p=17614 The post Employers Shift to Equity-Focused Strategies as Health Costs Outpace Wages appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employers Seek Strategies to Combat Rising Health Care Costs https://www.nationalalliancehealth.org/news/employers-seek-strategies-to-combat-rising-health-care-costs/ Wed, 30 Oct 2024 13:42:29 +0000 https://www.nationalalliancehealth.org/?p=17623 The post Employers Seek Strategies to Combat Rising Health Care Costs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Rising healthcare costs could trickle down to workers: employer survey https://www.nationalalliancehealth.org/news/rising-healthcare-costs-could-trickle-down-to-workers-employer-survey/ Wed, 30 Oct 2024 13:37:34 +0000 https://www.nationalalliancehealth.org/?p=17617 The post Rising healthcare costs could trickle down to workers: employer survey appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> How Employers Are Trying To Tame Healthcare Costs https://www.nationalalliancehealth.org/news/how-employers-are-trying-to-tame-healthcare-costs/ Tue, 29 Oct 2024 15:14:06 +0000 https://www.nationalalliancehealth.org/?p=17596 The post How Employers Are Trying To Tame Healthcare Costs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Survey: Employers fear rising health costs could force trade-offs with wages, salaries https://www.nationalalliancehealth.org/news/survey-employers-fear-rising-health-costs-could-force-trade-offs-with-wages-salaries/ Tue, 29 Oct 2024 15:13:06 +0000 https://www.nationalalliancehealth.org/?p=17594 The post Survey: Employers fear rising health costs could force trade-offs with wages, salaries appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employers using various strategies to contain healthcare costs https://www.nationalalliancehealth.org/news/employers-using-various-strategies-to-contain-healthcare-costs/ Tue, 29 Oct 2024 13:40:42 +0000 https://www.nationalalliancehealth.org/?p=17621 The post Employers using various strategies to contain healthcare costs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Advanced primary care: More employers adopting to curb high hospital bills https://www.nationalalliancehealth.org/news/advanced-primary-care-more-employers-adopting-to-curb-high-hospital-bills/ Tue, 29 Oct 2024 13:39:19 +0000 https://www.nationalalliancehealth.org/?p=17619 The post Advanced primary care: More employers adopting to curb high hospital bills appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance Survey Reveals Employers Using Innovative Payment Approaches Experienced Lower Healthcare Costs  https://www.nationalalliancehealth.org/news/national-alliance-of-healthcare-purchaser-coalitions-survey-reveals-employers-using-innovative-payment-approaches-experienced-lower-healthcare-costs/ Tue, 29 Oct 2024 12:59:03 +0000 https://www.nationalalliancehealth.org/?p=17547 Pulse of the Purchaser study also finds obesity, women’s health and health equity are growing areas of benefits focus for employers in 2024 and beyond  WASHINGTON – OCTOBER 29, 2024 […]

The post National Alliance Survey Reveals Employers Using Innovative Payment Approaches Experienced Lower Healthcare Costs  appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employers eye PBM changes, fearing legal threat https://www.nationalalliancehealth.org/news/employers-eye-pbm-changes-fearing-legal-threat/ Tue, 29 Oct 2024 11:11:47 +0000 https://www.nationalalliancehealth.org/?p=17589 The post Employers eye PBM changes, fearing legal threat appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Pulse of the Purchaser 2024 Survey Results https://www.nationalalliancehealth.org/resources/pulse-of-the-purchaser-2024-survey-results/ Fri, 25 Oct 2024 21:38:56 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=17548 The Pulse of the Purchaser study gauges concerns and approaches of employers to address the workforce environment; whole person health, equity, women’s health, mental health and obesity management; fiduciary perspectives; pharmaceutical […]

The post Pulse of the Purchaser 2024 Survey Results appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> MedCity Pivot Podcast: Chat With Shawn Gremminger About Employer-Led Healthcare https://www.nationalalliancehealth.org/news/medcity-pivot-podcast-chat-with-shawn-gremminger-about-employer-led-healthcare/ Fri, 25 Oct 2024 12:45:03 +0000 https://www.nationalalliancehealth.org/?p=17582 The post MedCity Pivot Podcast: Chat With Shawn Gremminger About Employer-Led Healthcare appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance Announces Keynote and Agenda for Annual Forum https://www.nationalalliancehealth.org/news/national-alliance-announces-keynote-and-agenda-for-annual-forum/ Tue, 22 Oct 2024 14:13:31 +0000 https://www.nationalalliancehealth.org/?p=17524 Health economist and policy expert Dr. Zack Cooper will offer insight on the impact of rising healthcare costs to the US economy, businesses, and working families WASHINGTON – October 22, […]

The post National Alliance Announces Keynote and Agenda for Annual Forum appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Why Employers Are Turning to Primary Care as Health Care Costs Soar https://www.nationalalliancehealth.org/news/why-employers-are-turning-to-primary-care-as-health-care-costs-soar/ Thu, 10 Oct 2024 13:54:32 +0000 https://www.nationalalliancehealth.org/?p=17494 The post Why Employers Are Turning to Primary Care as Health Care Costs Soar appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Healthcare Premiums Are Soaring Even as Inflation Eases, in Charts https://www.nationalalliancehealth.org/news/healthcare-premiums-are-soaring-even-as-inflation-eases-in-charts/ Wed, 09 Oct 2024 13:54:50 +0000 https://www.nationalalliancehealth.org/?p=17496 The post Healthcare Premiums Are Soaring Even as Inflation Eases, in Charts appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Understanding Cell and Gene Therapy and its Impact on the Workforce https://www.nationalalliancehealth.org/resources/understanding-cell-and-gene-therapy-and-its-impact-on-the-workforce/ Mon, 30 Sep 2024 21:21:52 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=17392 This two-part Action Brief series (see links, below) covers the basics of the fast-growing field of life-changing, life-saving — and costly — cell and gene therapies (CGTs). Learn to navigate […]

The post Understanding Cell and Gene Therapy and its Impact on the Workforce appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employer plans face GLP-1 anti-obesity drug rebate threats https://www.nationalalliancehealth.org/news/employer-plans-face-glp-1-anti-obesity-drug-rebate-threats/ Fri, 27 Sep 2024 21:48:35 +0000 https://www.nationalalliancehealth.org/?p=17373 The post Employer plans face GLP-1 anti-obesity drug rebate threats appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Letter to HELP Committee regarding pricing practices of GLP-1s https://www.nationalalliancehealth.org/news/letter-to-help-committee-regarding-pricing-practices-of-glp-1s/ Tue, 24 Sep 2024 18:49:45 +0000 https://www.nationalalliancehealth.org/?p=17343 Employers and purchasers are struggling to afford coverage of GLP-1s to treat obesity for their employees and dependents. To provide access to these drugs for those most in need, many […]

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]]> These factory workers were swamped by medical debt. Then their employer stepped in https://www.nationalalliancehealth.org/news/these-factory-workers-were-swamped-by-medical-debt-then-their-employer-stepped-in/ Wed, 18 Sep 2024 00:36:45 +0000 https://www.nationalalliancehealth.org/?p=17330 The post These factory workers were swamped by medical debt. Then their employer stepped in appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Op-ed: Shawn Gremminger and Bret Jackson: What is hospital dumping and why should legislators, employers and patients care? https://www.nationalalliancehealth.org/news/op-ed-shawn-gremminger-and-bret-jackson-what-is-hospital-dumping-and-why-should-legislators-employers-and-patients-care/ Mon, 16 Sep 2024 23:57:55 +0000 https://www.nationalalliancehealth.org/?p=17318 The post Op-ed: Shawn Gremminger and Bret Jackson: What is hospital dumping and why should legislators, employers and patients care? appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Finding Common Ground: Addressing PBM Issues and ERISA Tensions https://www.nationalalliancehealth.org/news/finding-common-ground-addressing-pbm-issues-and-erisa-tensions/ Wed, 11 Sep 2024 00:05:34 +0000 https://www.nationalalliancehealth.org/?p=17325 The post Finding Common Ground: Addressing PBM Issues and ERISA Tensions appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Hospital Fair Price in Action: People Matter https://www.nationalalliancehealth.org/resources/hospital-fair-price-in-action-people-matter/ Fri, 06 Sep 2024 19:59:51 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=17276 Achieving Hospital Fair Price is mission-critical for America’s families and businesses. Over the past 20 years, the prices of hospital services have grown faster than any other sector of the […]

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]]> EP448 (Part 2): 340B: Why Employers Should Probably Care About What’s Happening Here, With Shawn Gremminger https://www.nationalalliancehealth.org/news/ep448-part-2-340b-why-employers-should-probably-care-about-whats-happening-here-with-shawn-gremminger/ Fri, 06 Sep 2024 00:01:22 +0000 https://www.nationalalliancehealth.org/?p=17323 The post EP448 (Part 2): 340B: Why Employers Should Probably Care About What’s Happening Here, With Shawn Gremminger appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> EP448 (Part 1): 340B: Where It Started, Where It Is Now, and Who Is Really Benefiting From This Massive Program, With Shawn Gremminger https://www.nationalalliancehealth.org/news/ep448-part-1-340b-where-it-started-where-it-is-now-and-who-is-really-benefiting-from-this-massive-program-with-shawn-gremminger/ Thu, 05 Sep 2024 23:59:27 +0000 https://www.nationalalliancehealth.org/?p=17320 The post EP448 (Part 1): 340B: Where It Started, Where It Is Now, and Who Is Really Benefiting From This Massive Program, With Shawn Gremminger appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employers Urge Stronger Health Transparency as ERISA Turns 50 https://www.nationalalliancehealth.org/news/employers-urge-stronger-health-transparency-as-erisa-turns-50/ Fri, 30 Aug 2024 18:13:38 +0000 https://www.nationalalliancehealth.org/?p=17195 The post Employers Urge Stronger Health Transparency as ERISA Turns 50 appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employers Beware: Alternative Funding Programs Require Careful Review to Avoid Negative Consequences https://www.nationalalliancehealth.org/resources/employers-beware-alternative-funding-programs-require-careful-review-to-avoid-negative-consequences/ Tue, 27 Aug 2024 15:15:17 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=17170 As healthcare costs increase, employers and other plan sponsors continue to explore strategies to better manage pharmaceutical costs. Given that prescription drug spending accounts for 18% of all healthcare spending, […]

The post Employers Beware: Alternative Funding Programs Require Careful Review to Avoid Negative Consequences appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Time to Act: Understanding PBM Practices Enables Employers to Ignite Change https://www.nationalalliancehealth.org/resources/time-to-act-understanding-pbm-practices-enables-employers-to-ignite-change/ Tue, 27 Aug 2024 15:13:16 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=17168 For decades the PBM industry has been plagued by misalignment, opacity, and consolidation. Rather than improving drug value and creating an efficient marketplace, the industry has fueled a flawed model […]

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]]> The fox guarding the henhouse: Addressing PBM industry misalignment and 340B https://www.nationalalliancehealth.org/news/the-fox-guarding-the-henhouse-addressing-pbm-industry-misalignment-and-340b/ Mon, 26 Aug 2024 20:44:02 +0000 https://www.nationalalliancehealth.org/?p=17189 The post The fox guarding the henhouse: Addressing PBM industry misalignment and 340B appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Workplace insurance could soon be stripped down https://www.nationalalliancehealth.org/news/workplace-insurance-could-soon-be-stripped-down/ Wed, 21 Aug 2024 15:48:00 +0000 https://www.nationalalliancehealth.org/?p=17053 The post Workplace insurance could soon be stripped down appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> New Medicaid Rule Adds Fuel To The Fire Of Commercial Hospital Price Inflation https://www.nationalalliancehealth.org/news/new-medicaid-rule-adds-fuel-to-the-fire-of-commercial-hospital-price-inflation/ Fri, 09 Aug 2024 23:52:13 +0000 https://www.nationalalliancehealth.org/?p=17192 The post New Medicaid Rule Adds Fuel To The Fire Of Commercial Hospital Price Inflation appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Hospitals charging more than ‘fair price’ https://www.nationalalliancehealth.org/news/hospitals-charging-more-thanfair-price/ Mon, 22 Jul 2024 14:32:21 +0000 https://www.nationalalliancehealth.org/?p=16802 The post Hospitals charging more than ‘fair price’ appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> How Chevron’s demise could impact employers, purchasers and health payers https://www.nationalalliancehealth.org/news/how-chevrons-demise-could-impact-employers-purchasers-and-health-payers/ Fri, 12 Jul 2024 01:42:29 +0000 https://www.nationalalliancehealth.org/?p=16794 The post How Chevron’s demise could impact employers, purchasers and health payers appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Legislation to Improve Health Billing Transparency Endorsed by ERISA Industry Committee https://www.nationalalliancehealth.org/news/legislation-to-improve-health-billing-transparency-endorsed-by-erisa-industry-committee/ Mon, 10 Jun 2024 15:07:34 +0000 https://www.nationalalliancehealth.org/?p=16761 The post Legislation to Improve Health Billing Transparency Endorsed by ERISA Industry Committee appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> The Leap to Self-Insurance https://www.nationalalliancehealth.org/news/the-leap-to-self-insurance/ Tue, 04 Jun 2024 17:56:00 +0000 https://www.nationalalliancehealth.org/?p=16682 The post The Leap to Self-Insurance appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Gremminger Hearing Record Statement for 340B Drug Pricing Program https://www.nationalalliancehealth.org/resources/gremminger-hearing-record-statement-for-340b-drug-pricing-program/ Tue, 04 Jun 2024 14:37:02 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=16607 On Tuesday, June 4, the House Energy and Commerce Oversight and Investigations subcommittee hosted a hearing to discuss the 340B Drug Pricing Program.  National Alliance President and CEO Shawn Gremminger submitted a […]

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]]> Plan Sponsors, Insurers Spar Over Fiduciary Data Despite Lawsuits https://www.nationalalliancehealth.org/news/plan-sponsors-insurers-spar-over-fiduciary-data-despite-lawsuits/ Fri, 31 May 2024 17:59:04 +0000 https://www.nationalalliancehealth.org/?p=16684 The post Plan Sponsors, Insurers Spar Over Fiduciary Data Despite Lawsuits appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Why half of all workers may struggle to get weight-loss drug health insurance coverage https://www.nationalalliancehealth.org/news/why-half-of-all-workers-may-struggle-to-get-weight-loss-drug-health-insurance-coverage/ Thu, 30 May 2024 20:51:52 +0000 https://www.nationalalliancehealth.org/?p=16585 The post Why half of all workers may struggle to get weight-loss drug health insurance coverage appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> U.S. Business Action to End HIV and Advance Health Equity https://www.nationalalliancehealth.org/resources/end-hiv-in-america/ Thu, 30 May 2024 20:23:14 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=16575 The private sector is bringing new expertise and momentum to an effort once thought impossible—the end of the HIV epidemic in the U.S. It’s going to take leaders across business […]

The post U.S. Business Action to End HIV and Advance Health Equity appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Time for Employers to Take the Reins on Employee Healthcare https://www.nationalalliancehealth.org/news/time-for-employers-to-take-the-reins-on-employee-healthcare/ Wed, 29 May 2024 20:53:50 +0000 https://www.nationalalliancehealth.org/?p=16587 The post Time for Employers to Take the Reins on Employee Healthcare appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Hospital to Union: Pay Up or You’re Stuck With Us in Your Health Plan https://www.nationalalliancehealth.org/news/hospital-to-union-pay-up-or-youre-stuck-with-us-in-your-health-plan/ Tue, 21 May 2024 16:45:59 +0000 https://www.nationalalliancehealth.org/?p=16533 The post Hospital to Union: Pay Up or You’re Stuck With Us in Your Health Plan appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> How Patient- and Family-Centered Hospital Communications Reduce Medical Errors https://www.nationalalliancehealth.org/resources/how-patient-and-family-centered-hospital-communications-reduce-medical-errors/ Mon, 20 May 2024 18:40:38 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=16532 Even with significant efforts to improve care, medical errors in hospitals that harm patients still occur at alarming rates, causing substantial avoidable financial and human costs. Improving patient- and family-centered […]

The post How Patient- and Family-Centered Hospital Communications Reduce Medical Errors appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> ‘The Time Is Now’: How Employers Can Offer Comprehensive Obesity Care https://www.nationalalliancehealth.org/news/the-time-is-now-how-employers-can-offer-comprehensive-obesity-care/ Mon, 20 May 2024 13:15:23 +0000 https://www.nationalalliancehealth.org/?p=16525 The post ‘The Time Is Now’: How Employers Can Offer Comprehensive Obesity Care appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Opinion: High healthcare costs cause pain for small business owners and employees https://www.nationalalliancehealth.org/news/opinion-high-healthcare-costs-cause-pain-for-small-business-owners-and-employees/ Thu, 02 May 2024 00:56:55 +0000 https://www.nationalalliancehealth.org/?p=16457 The post Opinion: High healthcare costs cause pain for small business owners and employees appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employers feel the side effects of drugmaker control over Wegovy, Ozempic costs https://www.nationalalliancehealth.org/news/employers-feel-the-side-effects-of-drugmaker-control-over-wegovy-ozempic-costs/ Thu, 18 Apr 2024 18:05:23 +0000 https://www.nationalalliancehealth.org/?p=16194 The post Employers feel the side effects of drugmaker control over Wegovy, Ozempic costs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Study Highlights Disparities in Access to In-Network Mental Health Care vs Medical Care https://www.nationalalliancehealth.org/news/study-highlights-disparities-in-access-to-in-network-mental-health-care-vs-medical-care/ Wed, 17 Apr 2024 18:06:45 +0000 https://www.nationalalliancehealth.org/?p=16196 The post Study Highlights Disparities in Access to In-Network Mental Health Care vs Medical Care appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> More Risks, More Opportunities: What’s Next For Employers In Healthcare? https://www.nationalalliancehealth.org/news/more-risks-more-opportunities-whats-next-for-employers-in-healthcare/ Sun, 07 Apr 2024 18:08:58 +0000 https://www.nationalalliancehealth.org/?p=16198 The post More Risks, More Opportunities: What’s Next For Employers In Healthcare? appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Sources for covering the hidden clauses raising employers’ and workers’ health costs https://www.nationalalliancehealth.org/news/sources-for-covering-the-hidden-clauses-raising-employers-and-workers-health-costs/ Thu, 21 Mar 2024 21:22:26 +0000 https://www.nationalalliancehealth.org/?p=16086 The post Sources for covering the hidden clauses raising employers’ and workers’ health costs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employer health care advocacy group urges action on ‘indefensible’ hospital prices https://www.nationalalliancehealth.org/news/employer-health-care-advocacy-group-urges-action-on-indefensible-hospital-prices/ Thu, 21 Mar 2024 21:11:07 +0000 https://www.nationalalliancehealth.org/?p=16084 The post Employer health care advocacy group urges action on ‘indefensible’ hospital prices appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Weight loss drug Wegovy is now approved for heart health — but that won’t mean broad insurance coverage just yet https://www.nationalalliancehealth.org/news/weight-loss-drug-wegovy-is-now-approved-for-heart-health-but-that-wont-mean-broad-insurance-coverage-just-yet/ Sat, 16 Mar 2024 22:04:12 +0000 https://www.nationalalliancehealth.org/?p=16021 The post Weight loss drug Wegovy is now approved for heart health — but that won’t mean broad insurance coverage just yet appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> No Surprises Act Driving Medical Cost Hikes, Employer Groups Say https://www.nationalalliancehealth.org/news/no-surprises-act-driving-medical-cost-hikes-employer-groups-say/ Thu, 07 Mar 2024 23:00:11 +0000 https://www.nationalalliancehealth.org/?p=16017 The post No Surprises Act Driving Medical Cost Hikes, Employer Groups Say appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> What Ozempic can teach CFOs about drug costs https://www.nationalalliancehealth.org/news/what-ozempic-can-teach-cfos-about-drug-costs/ Thu, 07 Mar 2024 22:46:43 +0000 https://www.nationalalliancehealth.org/?p=16010 The post What Ozempic can teach CFOs about drug costs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Upended: Can PBM Transparency Succeed? https://www.nationalalliancehealth.org/news/upended-can-pbm-transparency-succeed/ Wed, 06 Mar 2024 22:48:29 +0000 https://www.nationalalliancehealth.org/?p=16012 The post Upended: Can PBM Transparency Succeed? appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Weight-loss drug restrictions shine spotlight on imbalance in obesity care https://www.nationalalliancehealth.org/news/weight-loss-drug-restrictions-shine-spotlight-on-imbalance-in-obesity-care/ Mon, 04 Mar 2024 22:56:13 +0000 https://www.nationalalliancehealth.org/?p=16014 The post Weight-loss drug restrictions shine spotlight on imbalance in obesity care appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Addressing Obesity through Holistic Design for Affordability and Sustainability https://www.nationalalliancehealth.org/resources/addressing-obesity-through-holistic-design-for-affordability-and-sustainability/ Tue, 27 Feb 2024 12:00:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=15444 National Obesity Advisory Council Position Statement & Recommendations for Employers.

The post Addressing Obesity through Holistic Design for Affordability and Sustainability appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Hospital prices are ‘unreasonable’ and ‘indefensible’, say employers https://www.nationalalliancehealth.org/news/hospital-prices-are-unreasonable-and-indefensible-say-employers/ Mon, 26 Feb 2024 13:32:37 +0000 https://www.nationalalliancehealth.org/?p=15464 The post Hospital prices are ‘unreasonable’ and ‘indefensible’, say employers appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> 3 Reasons to Attend the Payer Insights Sessions at ViVE 2024 https://www.nationalalliancehealth.org/news/3-reasons-to-attend-the-payer-insights-sessions-at-vive-2024/ Tue, 13 Feb 2024 03:01:48 +0000 https://www.nationalalliancehealth.org/?p=15125 The post 3 Reasons to Attend the Payer Insights Sessions at ViVE 2024 appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Johnson & Johnson Case Signals Employee Drug Price Suits to Come https://www.nationalalliancehealth.org/news/johnson-johnson-case-signals-employee-drug-price-suits-to-come/ Sat, 10 Feb 2024 01:53:45 +0000 https://www.nationalalliancehealth.org/?p=16024 The post Johnson & Johnson Case Signals Employee Drug Price Suits to Come appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance President and CEO Shawn Gremminger Discusses 2024 Initiatives, PBMs, and Health Equity https://www.nationalalliancehealth.org/news/national-alliance-president-and-ceo-shawn-gremminger-discusses-2024-initiatives-pbms-and-health-equity/ Sat, 03 Feb 2024 00:27:44 +0000 https://www.nationalalliancehealth.org/?p=15107 The post National Alliance President and CEO Shawn Gremminger Discusses 2024 Initiatives, PBMs, and Health Equity appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Six Reasons Why It’s So Hard to Get Your Weight-Loss Drugs https://www.nationalalliancehealth.org/news/six-reasons-why-its-so-hard-to-get-your-weight-loss-drugs/ Sat, 03 Feb 2024 00:24:55 +0000 https://www.nationalalliancehealth.org/?p=15103 The post Six Reasons Why It’s So Hard to Get Your Weight-Loss Drugs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Paying a lot for your health insurance? You might have a lawsuit. https://www.nationalalliancehealth.org/news/paying-a-lot-for-your-health-insurance-you-might-have-a-lawsuit/ Thu, 21 Dec 2023 16:12:57 +0000 https://www.nationalalliancehealth.org/?p=15003 The post Paying a lot for your health insurance? You might have a lawsuit. appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Lower Costs, More Transparency Act https://www.nationalalliancehealth.org/resources/lower-costs-more-transparency-act/ Tue, 19 Dec 2023 19:54:25 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=14996 On December 11, the US House of Representatives overwhelmingly passed the Lower Costs, More Transparency Act (HR 5378) with a bipartisan vote of 320-71. The Act aims to address the […]

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]]> Obesity, Women’s Health, Health Equity Among Top Benefit Focuses for Employers in 2024 https://www.nationalalliancehealth.org/news/obesity-womens-health-health-equity-among-top-benefit-focuses-for-employers-in-2024/ Tue, 19 Dec 2023 14:20:59 +0000 https://www.nationalalliancehealth.org/?p=15000 The post Obesity, Women’s Health, Health Equity Among Top Benefit Focuses for Employers in 2024 appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employer Survey Finds High-Cost Claims and Hospital Prices are Major Concern https://www.nationalalliancehealth.org/news/employer-survey-finds-high-cost-claims-and-hospital-prices-are-major-concern/ Wed, 13 Dec 2023 23:09:45 +0000 https://www.nationalalliancehealth.org/?p=14955 The post Employer Survey Finds High-Cost Claims and Hospital Prices are Major Concern appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Report: Less than Half of Employers Are Confident In Integrity of Hospitals, PBMs https://www.nationalalliancehealth.org/news/report-less-than-half-of-employers-are-confident-in-integrity-of-hospitals-pbms/ Wed, 13 Dec 2023 16:42:09 +0000 https://www.nationalalliancehealth.org/?p=14962 The post Report: Less than Half of Employers Are Confident In Integrity of Hospitals, PBMs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Survey Finds More than Half of Employers Not Confident in PBM Practices https://www.nationalalliancehealth.org/news/survey-finds-more-than-half-of-employers-not-confident-in-pbm-practices/ Wed, 13 Dec 2023 16:35:18 +0000 https://www.nationalalliancehealth.org/?p=14959 The post Survey Finds More than Half of Employers Not Confident in PBM Practices appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Pulse of the Purchaser 2023 Survey Results https://www.nationalalliancehealth.org/resources/pulse-of-the-purchaser/ Wed, 13 Dec 2023 14:55:17 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=14686 The Pulse of the Purchaser study gauges concerns and approaches of employers to address the workforce environment; whole person health, equity, women’s health, mental health and obesity management; fiduciary perspectives; pharmaceutical […]

The post Pulse of the Purchaser 2023 Survey Results appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Lack of Confidence in Service Providers, Healthcare Affordability Among Top Employer Concerns per National Alliance Survey https://www.nationalalliancehealth.org/news/lack-of-confidence-in-service-providers-healthcare-affordability-among-top-employer-concerns-per-national-alliance-survey/ Wed, 13 Dec 2023 14:53:19 +0000 https://www.nationalalliancehealth.org/?p=14683 Pulse of the Purchaser study also finds obesity, women’s health and health equity are growing areas of benefits focus for employers in 2024 and beyond WASHINGTON – DECEMBER 13, 2023 […]

The post Lack of Confidence in Service Providers, Healthcare Affordability Among Top Employer Concerns per National Alliance Survey appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance Hill Visits 2023 https://www.nationalalliancehealth.org/resources/hill-visits-on-key-topics/ Tue, 12 Dec 2023 13:51:33 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=14897 The following one-page resources on PBM reform, ERISA preemption, combating high and rising hospital prices, improving HSA flexibility, and integrating mental health into primary care, were presented during the National […]

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]]> Navigating Work With PBMs: Negotiations, Misalignments, and Drug Costs https://www.nationalalliancehealth.org/news/navigating-work-with-pbms-negotiations-misalignments-and-drug-costs/ Thu, 07 Dec 2023 16:26:48 +0000 https://www.nationalalliancehealth.org/?p=14678 The post Navigating Work With PBMs: Negotiations, Misalignments, and Drug Costs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Cigna-Humana Deal Would Complicate Drug Pricing for Health Plans https://www.nationalalliancehealth.org/news/cigna-humana-deal-would-complicate-drug-pricing-for-health-plans/ Thu, 07 Dec 2023 16:24:07 +0000 https://www.nationalalliancehealth.org/?p=14675 The post Cigna-Humana Deal Would Complicate Drug Pricing for Health Plans appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> CVS drug pricing overhaul signals a broader industry shift https://www.nationalalliancehealth.org/news/cvs-drug-pricing-overhaul-signals-a-broader-industry-shift/ Wed, 06 Dec 2023 20:08:42 +0000 https://www.nationalalliancehealth.org/?p=14647 The post CVS drug pricing overhaul signals a broader industry shift appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Mental health benefits: Overcoming hurdles to provide employees with better access to care https://www.nationalalliancehealth.org/news/mental-health-benefits-overcoming-hurdles-to-provide-employees-with-better-access-to-care/ Mon, 04 Dec 2023 20:10:27 +0000 https://www.nationalalliancehealth.org/?p=14652 The post Mental health benefits: Overcoming hurdles to provide employees with better access to care appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Expert Discusses Biosimiliars Influencing Pricing of Biologic Drugs https://www.nationalalliancehealth.org/news/expert-discusses-biosimiliars-influencing-pricing-of-biologic-drugs/ Wed, 22 Nov 2023 19:13:27 +0000 https://www.nationalalliancehealth.org/?p=14627 The post Expert Discusses Biosimiliars Influencing Pricing of Biologic Drugs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Foot Locker, Teamsters Show Their Drug-Benefit Managers the Door https://www.nationalalliancehealth.org/news/foot-locker-teamsters-show-their-drug-benefit-managers-the-door/ Tue, 21 Nov 2023 21:07:45 +0000 https://www.nationalalliancehealth.org/?p=14672 The post Foot Locker, Teamsters Show Their Drug-Benefit Managers the Door appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Lina Khan speaks out about FTC’s private equity lawsuit: ‘We’re putting the market on notice’ https://www.nationalalliancehealth.org/news/lina-khan-speaks-out-about-ftcs-private-equity-lawsuit-were-putting-the-market-on-notice/ Fri, 17 Nov 2023 19:10:36 +0000 https://www.nationalalliancehealth.org/?p=14624 The post Lina Khan speaks out about FTC’s private equity lawsuit: ‘We’re putting the market on notice’ appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employer Coalition Urges Congress to Pass PBM Reforms This Year https://www.nationalalliancehealth.org/news/employer-coalition-urges-congress-to-pass-pbm-reforms-this-year/ Thu, 16 Nov 2023 13:25:00 +0000 https://www.nationalalliancehealth.org/?p=14582 EmployersRx and allies urge Congress to continue its momentum to eliminate PBM business practices driving up the cost of drugs for American businesses and workers OAKLAND, CA and WASHINGTON – […]

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]]> Letter to Senate Leadership: Supporting PBM Reform from Employers and Other Stakeholders https://www.nationalalliancehealth.org/resources/letter-to-senate-leadership-supporting-pbm-reform-from-employers-and-other-stakeholders/ Wed, 08 Nov 2023 20:09:10 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=14562 This letter to Majority Leader Schumer and Republican Leader McConnell asks them to support the healthcare provided to 179 million Americans through private employers by enacting strong pharmacy benefit manager […]

The post Letter to Senate Leadership: Supporting PBM Reform from Employers and Other Stakeholders appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employer group pushes for site-neutral https://www.nationalalliancehealth.org/news/employer-group-pushes-for-site-neutral/ Tue, 07 Nov 2023 19:06:33 +0000 https://www.nationalalliancehealth.org/?p=14621 The post Employer group pushes for site-neutral appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Blue Shield of California is promising a simpler, cheaper pharmacy benefits model. Can it deliver? https://www.nationalalliancehealth.org/news/blue-shield-of-california-is-promising-a-simpler-cheaper-pharmacy-benefits-model-can-it-deliver/ Wed, 25 Oct 2023 12:41:00 +0000 https://www.nationalalliancehealth.org/?p=14498 The post Blue Shield of California is promising a simpler, cheaper pharmacy benefits model. Can it deliver? appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> 3 Ways That Large Employers Influence Health Insurance Costs, Coverage https://www.nationalalliancehealth.org/news/3-ways-that-large-employers-influence-health-insurance-costs-coverage/ Wed, 18 Oct 2023 19:41:57 +0000 https://www.nationalalliancehealth.org/?p=14467 The post 3 Ways That Large Employers Influence Health Insurance Costs, Coverage appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employers face major barrier to securing cheaper health benefits https://www.nationalalliancehealth.org/news/employers-face-major-barrier-to-securing-cheaper-health-benefits/ Tue, 17 Oct 2023 15:00:05 +0000 https://www.nationalalliancehealth.org/?p=14422 The post Employers face major barrier to securing cheaper health benefits appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Tackling Chronic Pain by Meeting People Where They Are https://www.nationalalliancehealth.org/resources/tackling-chronic-pain-by-meeting-people-where-they-are/ Wed, 11 Oct 2023 21:47:34 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=14391 Although 80% of business leaders surveyed recognized that chronic pain was a concern for your organizations, the same number (80%) did not know how to deal with employees in pain. […]

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]]> National Alliance of Healthcare Purchaser Coalitions Announces Speakers for Annual Forum https://www.nationalalliancehealth.org/news/national-alliance-of-healthcare-purchaser-coalitions-announces-speakers-for-annual-forum/ Thu, 05 Oct 2023 14:09:40 +0000 https://www.nationalalliancehealth.org/?p=14374 Extraordinary lineup of health and benefit leaders and vital discussions await atTemperature Rising: Igniting Change for a New Era WASHINGTON – October 5, 2023 – The National Alliance of Healthcare […]

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]]> Ozempic hype forces employer calls on obesity coverage https://www.nationalalliancehealth.org/news/ozempic-hype-forces-employer-calls-on-obesity-coverage-2/ Mon, 02 Oct 2023 12:44:07 +0000 https://www.nationalalliancehealth.org/?p=14502 The post Ozempic hype forces employer calls on obesity coverage appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Ozempic Hype Forces Employer Calls on Obesity Coverage https://www.nationalalliancehealth.org/news/ozempic-hype-forces-employer-calls-on-obesity-coverage/ Thu, 28 Sep 2023 15:10:42 +0000 https://www.nationalalliancehealth.org/?p=14341 The post Ozempic Hype Forces Employer Calls on Obesity Coverage appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> These 15 metro areas saw biggest jumps in Ozempic use. They might not be where you expect. https://www.nationalalliancehealth.org/news/these-15-metro-areas-saw-biggest-jumps-in-ozempic-use-they-might-not-be-where-you-expect/ Wed, 27 Sep 2023 14:56:00 +0000 https://www.nationalalliancehealth.org/?p=14335 The post These 15 metro areas saw biggest jumps in Ozempic use. They might not be where you expect. appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employer Group to Hospitals: Your High Prices Aren’t Justified and Here’s Why https://www.nationalalliancehealth.org/news/employer-group-to-hospitals-your-high-prices-arent-justified-and-heres-why/ Tue, 19 Sep 2023 15:49:47 +0000 https://www.nationalalliancehealth.org/?p=14326 The post Employer Group to Hospitals: Your High Prices Aren’t Justified and Here’s Why appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Facing higher health costs, employers get tough https://www.nationalalliancehealth.org/news/facing-higher-health-costs-employers-get-tough/ Tue, 19 Sep 2023 14:17:44 +0000 https://www.nationalalliancehealth.org/?p=14310 The post Facing higher health costs, employers get tough appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Setting the Record Straight: The Urgency of Achieving Hospital Fair Price https://www.nationalalliancehealth.org/resources/the-urgency-of-achieving-hospital-fair-price/ Tue, 19 Sep 2023 14:10:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=14242 New data transparency reinforces what we have long known: Hospital prices are out of control and we can’t rely on health systems and health plans to course correct. This resource […]

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]]> National Alliance Urges Action to Achieve Fair Pricing for Hospital Services https://www.nationalalliancehealth.org/news/national-alliance-urges-action-to-achieve-fair-pricing-for-hospital-services/ Tue, 19 Sep 2023 11:00:08 +0000 https://www.nationalalliancehealth.org/?p=14299 New resource sets the record straight on top 10 myths driving largest healthcare expense for American families and businesses WASHINGTON – September 19, 2023 – Hospital prices are the leading […]

The post National Alliance Urges Action to Achieve Fair Pricing for Hospital Services appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Save billions or stick with Humira? Drug brokers steer Americans to the costly choice https://www.nationalalliancehealth.org/news/save-billions-or-stick-with-humira-drug-brokers-steer-americans-to-the-costly-choice/ Mon, 18 Sep 2023 19:01:43 +0000 https://www.nationalalliancehealth.org/?p=14284 The post Save billions or stick with Humira? Drug brokers steer Americans to the costly choice appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Protecting Employee Health in the Workplace https://www.nationalalliancehealth.org/resources/immunizations-protect-american-families-and-businesses/ Fri, 15 Sep 2023 14:37:49 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=14248 This 2-page resource helps clear up confusion about respiratory virus prevention recommendations to help protect American families and businesses from another disruptive surge.

The post Protecting Employee Health in the Workplace appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employers Point to Higher Costs After Medicare Drug Negotiations https://www.nationalalliancehealth.org/news/employers-point-to-higher-costs-after-medicare-drug-negotiations/ Tue, 12 Sep 2023 18:56:05 +0000 https://www.nationalalliancehealth.org/?p=14276 The post Employers Point to Higher Costs After Medicare Drug Negotiations appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Michael Thompson on Employer-PBM Relations and What It Will Take to Change Them https://www.nationalalliancehealth.org/news/michael-thompson-on-employer-pbm-relations-and-what-it-will-take-to-change-them/ Tue, 12 Sep 2023 18:54:01 +0000 https://www.nationalalliancehealth.org/?p=14273 The post Michael Thompson on Employer-PBM Relations and What It Will Take to Change Them appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Prescription Digital Therapeutics (PDTs) https://www.nationalalliancehealth.org/resources/pdt-playbook-for-employers/ Fri, 08 Sep 2023 21:50:11 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=14216 This PDT playbook for employers offers an overview of the digital health space, recommendations for evaluating and implementing a PDT strategy, and insight into the employer role in promoting PDTs.

The post Prescription Digital Therapeutics (PDTs) appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> New Directions to Better Manage High-Cost Claims https://www.nationalalliancehealth.org/resources/managing-high-cost-claims/ Thu, 07 Sep 2023 23:26:01 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=14209 High-cost claims have become the single fastest-growing healthcare cost for employers in the last decade; a significant threat to employer-sponsored healthcare benefits. This Action Brief includes steps employers and other […]

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]]> National Alliance Guideline Identifies Key PBM Concerns for Health Plan Purchasers https://www.nationalalliancehealth.org/news/national-alliance-guideline-identifies-key-pbm-concerns-for-health-plan-purchasers/ Thu, 07 Sep 2023 18:58:16 +0000 https://www.nationalalliancehealth.org/?p=14281 The post National Alliance Guideline Identifies Key PBM Concerns for Health Plan Purchasers appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance of Healthcare Purchaser Coalitions and HR Policy Association Release Resource to Support Employers in Managing Mental Health Vendors https://www.nationalalliancehealth.org/news/national-alliance-of-healthcare-purchaser-coalitions-and-hr-policy-association-release-resource-to-support-employers-in-managing-mental-health-vendors/ Mon, 28 Aug 2023 22:00:00 +0000 https://www.nationalalliancehealth.org/?p=14043 WASHINGTON – August 29, 2023 – To help employers and other healthcare purchasers improve access and quality of mental health benefits for employees and their family members the National Alliance […]

The post National Alliance of Healthcare Purchaser Coalitions and HR Policy Association Release Resource to Support Employers in Managing Mental Health Vendors appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Make the most of your health benefits: 6 questions employers should ask their healthcare insurer https://www.nationalalliancehealth.org/news/make-the-most-of-your-health-benefits-6-questions-employers-should-ask-their-healthcare-insurer/ Fri, 25 Aug 2023 22:20:03 +0000 https://www.nationalalliancehealth.org/?p=14228 The post Make the most of your health benefits: 6 questions employers should ask their healthcare insurer appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Wegovy’s Potential Heart Benefit Factors Into Coverage Decisions https://www.nationalalliancehealth.org/news/wegovys-potential-heart-benefit-factors-into-coverage-decisions/ Mon, 21 Aug 2023 22:17:09 +0000 https://www.nationalalliancehealth.org/?p=14225 The post Wegovy’s Potential Heart Benefit Factors Into Coverage Decisions appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> The Pharmacy-Benefit Sector Just Took a Hit https://www.nationalalliancehealth.org/news/the-pharmacy-benefit-sector-just-took-a-hit/ Fri, 18 Aug 2023 21:52:24 +0000 https://www.nationalalliancehealth.org/?p=14220 The post The Pharmacy-Benefit Sector Just Took a Hit appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Payers, Employers Support the No Surprises Act IDR Process in Court https://www.nationalalliancehealth.org/news/payers-employers-support-the-no-surprises-act-idr-process-in-court/ Thu, 03 Aug 2023 22:52:24 +0000 https://www.nationalalliancehealth.org/?p=14159 The post Payers, Employers Support the No Surprises Act IDR Process in Court appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Nearly 2,000 Organizations Urge Congress to Pass PBM Reform https://www.nationalalliancehealth.org/news/nearly-2000-organizations-urge-congress-to-pass-pbm-reform/ Thu, 13 Jul 2023 17:50:10 +0000 https://www.nationalalliancehealth.org/?p=14253 The post Nearly 2,000 Organizations Urge Congress to Pass PBM Reform appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Advanced Primary Care: Upgrading Employee Benefits https://www.nationalalliancehealth.org/news/advanced-primary-care-upgrading-employee-benefits/ Fri, 07 Jul 2023 18:10:00 +0000 https://www.nationalalliancehealth.org/?p=14257 The post Advanced Primary Care: Upgrading Employee Benefits appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Negotiating with PBMs for lower drug prices: New ‘aggressive’ playbook for employers https://www.nationalalliancehealth.org/news/negotiating-with-pbms-for-lower-drug-prices-new-aggressive-playbook-for-employers/ Thu, 29 Jun 2023 18:12:00 +0000 https://www.nationalalliancehealth.org/?p=14260 The post Negotiating with PBMs for lower drug prices: New ‘aggressive’ playbook for employers appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> The Age of Adalimumab Is Upon Us: How Stakeholders Can Prepare https://www.nationalalliancehealth.org/news/the-age-of-adalimumab-is-upon-us-how-stakeholders-can-prepare/ Wed, 28 Jun 2023 19:13:00 +0000 https://www.nationalalliancehealth.org/?p=14290 The post The Age of Adalimumab Is Upon Us: How Stakeholders Can Prepare appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employer Group Issues Guide for Contracting with PBMs https://www.nationalalliancehealth.org/news/employer-group-issues-guide-for-contracting-with-pbms/ Wed, 28 Jun 2023 18:18:48 +0000 https://www.nationalalliancehealth.org/?p=14263 The post Employer Group Issues Guide for Contracting with PBMs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> New playbook arms employers with blueprint for navigating PBM relationships https://www.nationalalliancehealth.org/news/new-playbook-arms-employers-with-blueprint-for-navigating-pbm-relationships/ Tue, 27 Jun 2023 18:29:00 +0000 https://www.nationalalliancehealth.org/?p=14269 The post New playbook arms employers with blueprint for navigating PBM relationships appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance of Healthcare Purchaser Coalitions Develops Playbook for Managing Drug Costs https://www.nationalalliancehealth.org/news/national-alliance-of-healthcare-purchaser-coalitions-develops-playbook-for-managing-drug-costs/ Tue, 27 Jun 2023 18:23:00 +0000 https://www.nationalalliancehealth.org/?p=14266 The post National Alliance of Healthcare Purchaser Coalitions Develops Playbook for Managing Drug Costs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Frustrated Employers Outline Ways to Work With PBMs https://www.nationalalliancehealth.org/news/frustrated-employers-outline-ways-to-work-with-pbms/ Mon, 26 Jun 2023 19:18:00 +0000 https://www.nationalalliancehealth.org/?p=14293 The post Frustrated Employers Outline Ways to Work With PBMs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance Releases Call to Action for Employers to Address Conflicts in the PBM Industry  https://www.nationalalliancehealth.org/news/national-alliance-releases-call-to-action-for-employers-to-address-conflicts-in-the-pbm-industry/ Mon, 26 Jun 2023 16:36:42 +0000 https://www.nationalalliancehealth.org/?p=13833 Playbook developed to equip purchasers to tackle flawed contracting models and lack of competition due to market consolidation  WASHINGTON – June 26, 2023 – High prescription drug costs continue to bankrupt […]

The post National Alliance Releases Call to Action for Employers to Address Conflicts in the PBM Industry  appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Addressing Pharmacy Benefit Management Misalignment https://www.nationalalliancehealth.org/resources/addressing-pharmacy-benefit-management-misalignment/ Mon, 26 Jun 2023 14:55:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=13814 High prescription drug costs continue to bankrupt families, put financial strain on businesses, and drag down the US economy and pharmacy benefit management plays a significant behind-the-scenes role. To arm […]

The post Addressing Pharmacy Benefit Management Misalignment appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Hospital Price Transparency Playbook https://www.nationalalliancehealth.org/resources/hospital-price-transparency-playbook/ Wed, 07 Jun 2023 21:12:01 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=13481 The National Alliance created a playbook for employers/purchasers and regional business coalitions, “Beyond Hospital Transparency: Getting to Fair Price.”

The post Hospital Price Transparency Playbook appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> High-cost Claims Fastest Driver of Healthcare Expense for Employers; National Alliance Offers Guidance to Mitigate https://www.nationalalliancehealth.org/news/high-cost-claims-fastest-driver-of-employer-healthcare-expense/ Fri, 02 Jun 2023 20:52:00 +0000 https://www.nationalalliancehealth.org/?p=13356 WASHINGTON – June 2, 2023 – Nearly 8 in 10 employers consider high-cost claims a significant threat to employer-sponsored healthcare, with an increasing number of companies facing claims in excess […]

The post High-cost Claims Fastest Driver of Healthcare Expense for Employers; National Alliance Offers Guidance to Mitigate appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Rethinking How We Mitigate High-Cost Claims https://www.nationalalliancehealth.org/resources/rethinking-how-we-mitigate-high-cost-claims/ Fri, 02 Jun 2023 17:00:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9337 Few, if any, employers have the size, resources or focus to address rapidly escalating high-cost claims. Since 2016, the number of health plan members with claims $3M+ has doubled, heightening […]

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]]> Rethinking How Employers Address High-Cost Claims  https://www.nationalalliancehealth.org/resources/rethinking-how-employers-address-high-cost-claims/ Wed, 10 May 2023 15:50:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=12215 High-cost claims have become the single fastest- growing healthcare cost for employers in the last decade and were identified as one of the “most significant threats to employer-sponsored healthcare” in […]

The post Rethinking How Employers Address High-Cost Claims  appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employers Dissatisfied With Networks’ Access to Behavioral Health Services https://www.nationalalliancehealth.org/news/employers-dissatisfied-with-networks-access-to-behavioral-health-services/ Wed, 03 May 2023 21:52:00 +0000 https://www.nationalalliancehealth.org/?p=12861 The post Employers Dissatisfied With Networks’ Access to Behavioral Health Services appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employer Playbook on Biosimilars https://www.nationalalliancehealth.org/resources/employer-playbook-on-biosimilars/ Thu, 02 Mar 2023 21:14:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8823 Employer and other healthcare purchasers grapple with how best to integrate biologics into health and pharmacy benefit plans. The National Alliance has developed this playbook to provide clear information to […]

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]]> Achieving Value through Health: Latest Evidence on Pharmacogenomics https://www.nationalalliancehealth.org/resources/achieving-value-through-health-latest-evidence-on-pharmacogenomics/ Wed, 25 Jan 2023 18:13:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8777 Pharmacogenomics (PGx) is a core element of precision medicine, reducing the likelihood of adverse drug reactions and optimizing therapeutic efficacy. We will review and discuss the latest evidence on improving outcomes and […]

The post Achieving Value through Health: Latest Evidence on Pharmacogenomics appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Using Evidence to Inform Health Strategy & Value-Based Benefit Design https://www.nationalalliancehealth.org/resources/using-evidence-to-inform-health-strategy-value-based-benefit-design/ Mon, 21 Nov 2022 18:01:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8753 This Special Edition Action Brief, “Using Evidence to Inform Health Strategy and Value-based Benefit Design,” is a roadmap to help healthcare purchasers use evidence-based findings to inform the design of value-based […]

The post Using Evidence to Inform Health Strategy & Value-Based Benefit Design appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Better Health – NOW: Advancing Primary Care https://www.nationalalliancehealth.org/resources/better-health-now-advancing-primary-care/ Tue, 09 Aug 2022 20:44:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8857 We need strong primary care in every community, so we all have better access to health. The Primary Care Collaborative’s Better Health — NOW campaign is a way to make […]

The post Better Health – NOW: Advancing Primary Care appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> A Fresh Look at Referenced-Based Pricing to Drive Affordability https://www.nationalalliancehealth.org/resources/a-fresh-look-at-referenced-based-pricing-to-drive-affordability/ Wed, 15 Jun 2022 21:03:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8902 The reference-based pricing (RBP) model in healthcare pays claims based on an established benchmark rather than a carrier-determined fee. This webinar will explore current drivers to cause employers to reexamine […]

The post A Fresh Look at Referenced-Based Pricing to Drive Affordability appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Cannabis and the Workplace: A Guidebook for Employers https://www.nationalalliancehealth.org/resources/cannabis-and-the-workplace-a-guidebook-for-employers/ Thu, 02 Jun 2022 21:05:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8906 This guidebook includes the following sections: SECTION 1Background on Cannabis: Legal Issues and Assessing Workplace Useand its Consequences SECTION 2Best Practices and Policies for Cannabis in the Workplace SECTION 3The […]

The post Cannabis and the Workplace: A Guidebook for Employers appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> New GPBCH Action Brief on Prescription Digital Therapeutics https://www.nationalalliancehealth.org/resources/new-gpbch-action-brief-on-prescription-digital-therapeutics/ Mon, 25 Apr 2022 21:19:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8939 The post New GPBCH Action Brief on Prescription Digital Therapeutics appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Webinar: An Overview of NASHP’s Hospital Cost Tool https://www.nationalalliancehealth.org/resources/webinar-an-overview-of-nashps-hospital-cost-tool/ Fri, 22 Apr 2022 21:20:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8943 Please see the April 8 recording from NASHP showcasing their Hospital Cost Tool.

The post Webinar: An Overview of NASHP’s Hospital Cost Tool appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Improving Drug Management Employer Biosimilar Strategies https://www.nationalalliancehealth.org/resources/improving-drug-management-employer-biosimilar-strategies/ Tue, 22 Mar 2022 21:31:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8969 This Action Brief helps employers understand and overcome obstacles to biosimilar uptake. Case studies from leading employers illustrate how they are saving millions by transitioning patients to safe and effective […]

The post Improving Drug Management Employer Biosimilar Strategies appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Improving Drug Management Employer Strategies on Biosimilars https://www.nationalalliancehealth.org/resources/improving-drug-management-employer-strategies-on-biosimilars/ Mon, 21 Feb 2022 22:41:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8995 Biosimilars have garnered significant press over the past few years, with a primary focus onsavings for employers. This savings is significant, as increased use of biosimilars will allow fora more […]

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]]> Better Value, Smarter Deductibles in HSA High-deductible Health Plans https://www.nationalalliancehealth.org/resources/better-value-smarter-deductibles-in-hsa-high-deductible-health-plans/ Wed, 16 Feb 2022 22:47:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9007 Learn how to achieve better value from high-deductible health plans by following good practices identified by HR and benefits professionals.  One example, enabling high-value care through expanding pre-deductible coverage, will […]

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]]> Building Better Benefits: Rethinking Value-Based Benefit Design https://www.nationalalliancehealth.org/resources/building-better-benefits-rethinking-value-based-benefit-design/ Thu, 03 Feb 2022 22:48:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9012 In the first of a two-part webinar series on value-based benefit design, participants will learn how their peers strategically align benefit designs to incentivize value, address equity concerns, and balance […]

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]]> Better Value, Smarter Deductibles in HSA-HDHPs: Improving Health, Equity & Engagement https://www.nationalalliancehealth.org/resources/better-value-smarter-deductibles-in-hsa-hdhps-improving-health-equity-engagement/ Thu, 04 Nov 2021 22:08:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9058 The increasing prevalence of HDHPs has been somewhat successful in improving consumer engagement and lowering employer healthcare spending. But cheaper insurance premiums come with a worrisome and unintended consequence: Lower […]

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]]> Opportunities in Pharmacy Benefit Management – 2021 PBM REPORT https://www.nationalalliancehealth.org/resources/opportunities-in-pharmacy-benefit-management-2021-pbm-report/ Wed, 03 Nov 2021 22:09:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9062 A group of National Alliance expert advisors collaborated to produce “Opportunities in Pharmacy Benefit Management.” Included is information about:

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]]> Advancing Primary Care: A Purchaser Playbook for Action https://www.nationalalliancehealth.org/resources/advancing-primary-care-a-purchaser-playbook-for-action/ Thu, 28 Oct 2021 22:13:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9077 While the pandemic made the extensive shortcomings of the US healthcare system impossible to ignore, it also opened promising opportunities to make meaningful course corrections. Currently under-utilized, primary care has […]

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]]> Myths and Facts: Revealing Hospital Price Transparency Truths https://www.nationalalliancehealth.org/resources/myths-and-facts-revealing-hospital-price-transparency-truths/ Thu, 28 Oct 2021 22:11:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9070 The aim of the National Alliance Hospital Pricing Transparency Initiative is to enable employers, patients, and health plans to buy healthcare the way they buy other goods and services. The […]

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]]> Prescription Digital Therapeutics in Behavioral Health https://www.nationalalliancehealth.org/resources/prescription-digital-therapeutics-in-behavioral-health/ Fri, 10 Sep 2021 23:07:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9286 This discussion will review how prescription digital therapeutics (PDTs) is one of the new developments to enhance and fill gaps in behavioral healthcare delivery to improve impact and outcomes.  We will hear […]

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]]> National Alliance Pulse of the Purchaser Survey Fall 2021 https://www.nationalalliancehealth.org/resources/national-alliance-pulse-of-the-purchaser-survey-fall-2021/ Fri, 10 Sep 2021 23:05:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9282 The National Alliance Pulse of the Purchaser Survey was conducted in August 2021 and offers employer insight on key topics, including: The survey included 142 responses from private and public […]

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]]> Achieving Value Medical Side of Drug Benefits: A Deep Dive Powered by eValue8 https://www.nationalalliancehealth.org/resources/achieving-value-medical-side-of-drug-benefits-a-deep-dive-powered-by-evalue8/ Thu, 12 Aug 2021 23:18:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9312 As the exorbitant cost of specialty drugs continues to dominate healthcare news, most employers are scrutinizing their pharmacy benefit manager (PBM) practices. Still, many purchasers are surprised to learn that […]

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]]> Understanding the spectrum from genomics to precision medicine https://www.nationalalliancehealth.org/resources/understanding-the-spectrum-from-genomics-to-precision-medicine/ Thu, 12 Aug 2021 23:16:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9308 The promise and power of precision (personalized) medicine lies in its ability to guide health care decisions toward the most effective treatment for individual patients, improving care quality, while reducing the […]

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]]> Employer Town Hall: Mitigating High-Cost Claims to Achieve Better Healthcare Value https://www.nationalalliancehealth.org/resources/employer-town-hall-mitigating-high-cost-claims-to-achieve-better-healthcare-value/ Thu, 15 Jul 2021 23:25:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9325 High-cost claims are the biggest threat to employer-sponsored health benefits today, making this issue a top priority for every employer, purchaser and market. During this timely employer town hall, learn […]

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]]> DOL Mental Health Parity Enforcement Implications for Plan Sponsors and The Path Forward https://www.nationalalliancehealth.org/resources/dol-mental-health-parity-enforcement-implications-for-plan-sponsors-and-the-path-forward/ Tue, 22 Jun 2021 16:58:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8746 The Path Forward for Mental Health & Substance Use is hosting a webinar to give an update on its progress and to outline recent actions by the Department of Labor […]

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]]> Mitigating High-Cost Claims – A Closer Look at Hemophilia https://www.nationalalliancehealth.org/resources/mitigating-high-cost-claims-a-closer-look-at-hemophilia/ Thu, 10 Jun 2021 23:32:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9341 Although hemophilia is a rare disorder affecting about 25,000 people in the US, it ranks among the highest-cost healthcare conditions, averaging $270,000 per claimant annually.1 As with many rare diseases, […]

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]]> Mindsets to Improve High-value Benefit Design: Designing a Better Medical Plan https://www.nationalalliancehealth.org/resources/mindsets-to-improve-high-value-benefit-design-designing-a-better-medical-plan/ Thu, 03 Jun 2021 23:33:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9345 There is a new wave of medical plan design that is more strategic and sensitive to delivering improved health. Employers and wellness providers are facing critical questions about how to […]

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