Innovate Blog

May 11, 2022

6 Things Every Employer Should Know About Their Pharmacy Benefit Manager

An industrywide lack of transparency, coupled with complex and often-confusing policies and contract terms, has opened the door to PBM profiteering.

April 14, 2022

Advice from a Purchaser Who Took on Health Care’s Status Quo and Won

Dig into the data. Read the fine print. Follow the money. That’s Marilyn Bartlett’s advice to employers and purchasers struggling to contain soaring health care costs and looking to gain greater transparency.

April 11, 2022

What the End of the COVID-19 Public Health Emergency Will Mean for Employers

The current COVID-19 public health emergency declaration has now been in place for more than two years – since January 2020. While a new wave could cause its extension, it will most likely end this summer.

March 30, 2022

5 Policies to Create a Fair Health Care Market

This week, actuaries with the Centers for Medicare and Medicaid projected health care spending will grow to reach almost $6.8 trillion by the year 2030 and consume nearly 20% of the country’s gross domestic product, or one in every five dollars spent.

March 2, 2022

What the Texas Ruling on the No Surprises Act Means for Employers

Last week, a federal district judge in Houston was the first to rule on one of the cases and sided with plaintiffs – the Texas Medical Association– effectively upending a vital portion of the rule implementing the decision.

March 1, 2022

What the Biden Administration’s Drug Pricing Reforms Mean for Employers

Policy specialists taking part in a recent PBGH roundtable on drug costs noted the reforms continue to enjoy broad, bi-partisan support and will help address a top concern of the American people in an election year.

February 24, 2022

Employers Are Driving Innovations in Primary Care

Large employers are increasingly working with existing direct contracting partners and new vendors to enhance primary care, which includes, among other things, the integration of behavioral health care.

January 28, 2022

5 Federal Policies for Employers to Watch in 2022

With the country in its fifth wave of coronavirus cases and hospitals full to the point of breaking, the ongoing pandemic clouds and shapes the health policy landscape.

January 6, 2022

Looking Toward the Horizon: Top 7 Health Care Trends for Employers in 2022

At the recent PBGH year-end roundtable, noted health care futurist Ian Morrison discussed key health care trends that both he and PBGH believe will be most relevant to purchasers in the year ahead.

December 13, 2021

Top 10 PBGH Innovate Blog Posts of 2021

The PBGH Innovate blog features articles written by PBGH and other experts about drug prices and fights over legislation to reign them in, health care market consolidation, payment reform, surprise medical bills, hospital price transparency, advanced primary care and beyond.