United Benefit Advisors Insight and Analysis Blog

Solving the Prescription Puzzle

Posted by: Mary Delaney, MSPT, CWP    Jan 24, 2017 9:30:00 AM

Determining how an employer develops the most effective formulary, while protecting the financial stability of the plan, is certainly the challenge of this decade. Prescription management used to mean monitoring that the right people are taking medications to control their disease while creating strategies to move them from brand name to generic medications. With the dawn of specialty medications, formulary management has become a game of maximizing the pass-through of rebates, creating the best prior authorization strategies and tiering of benefits to create some barrier to more expensive medications, all without becoming too disruptive.

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Topics: prescription drug cost, multi-tier prescription drug plans, prescription management, disease management, UBA Health Plan Survey, health care cost containment, mail order drug benefits, Mary Delaney, Vital Incite

Identify and Evaluate the Impact of Your Wellness Program

Posted by: Mary Delaney, MSPT, CWP    Jan 5, 2017 9:30:00 AM

Measuring program value, or return on investment, is critical and imperative in managing a healthy wellness program. Further, clearly identifying and objectively evaluating the impact helps keep the vendor focused on what is critical for the employer. If these programs are not having the impact intended, then the cost of those services is only adding to medical spending waste.

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Topics: wellness, employee wellness, employee engagement, health care cost containment, biometric risk assessment, population health strategy, Mary Delaney, Vital Incite, UBA Health Plan Survey, wellness programs

Why Care About Diabetes and What You Can Do as an Employer

Posted by: Mary Delaney, MSPT, CWP    Sep 27, 2016 10:30:00 AM

Diabetes is an expensive disease: $322 billon in America! Costs are compounded because diabetes is the leading cause of heart disease, stroke, kidney disease, lower limb amputation, and blindness, and also has connections with some cancers, arthritis, gum disease and Alzheimer’s disease. To add some perspective, consider these facts: Today, 3,835 Americans will be diagnosed with diabetes. Today, diabetes will cause 200 Americans to undergo an amputation, 136 to enter end-stage kidney disease treatment, and 1,795 to develop severe retinopathy that can lead to vision loss and blindness.

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Topics: diabetes, disease management, type 1 diabetes, type 2 diabetes, Vital Incite, Mary Delaney, American Diabetes Association, wellness

Mail Order or Not?

Posted by: Mary Delaney, MSPT, CWP    Jul 29, 2016 10:37:19 AM

In 1990, Health Affairs* reported “The escalating costs of prescription drugs and competition among pharmaceutical firms for customers are drawing the attention of policymakers, pharmacies, and individual and institutional purchasers. Mail-order pharmacies recently have grown in prominence as a competitive alternative to the local community pharmacy.”

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Topics: mail order drug benefits, prescription drug cost, Mary Delaney, prescription drug trends, Brenda Motheral