High-Cost Claims Archives | National Alliance of Healthcare Purchaser Coalitions Mon, 02 Jun 2025 21:19:06 +0000 en-US hourly 1 https://wordpress.org/?v=6.8.2 https://www.nationalalliancehealth.org/wp-content/uploads/Favicon_NAH.png High-Cost Claims Archives | National Alliance of Healthcare Purchaser Coalitions 32 32 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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]]> 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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]]> 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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]]> 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.

]]> 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.

]]> 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.

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]]> 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 […]

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]]> 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.

]]> 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.

]]> 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 […]

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]]> 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 […]

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]]> 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 […]

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]]> 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, […]

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]]> 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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]]> 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 […]

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]]> 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 […]

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]]> 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.

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]]> 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.

]]> 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 […]

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]]> 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 […]

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]]> 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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]]> 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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]]> 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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]]> 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.

]]> 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.

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]]> 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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]]> 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 […]

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]]> 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 […]

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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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]]> 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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]]> Action Brief: Medical Imaging https://www.nationalalliancehealth.org/resources/action-brief-medical-imaging/ Wed, 25 Nov 2020 17:44:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=9630 Medical imaging is essential for providing accurate diagnosis, assessing disease, and monitoring treatment. Purchasers and payers have a unique opportunity to establish quality measures that help ensure patients receive consistent […]

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