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The shift from summer’s easygoing days to the structure of the school year can feel like a whirlwind. Suddenly, the calendar is

The rising cost of prescription drugs is a significant concern for employers, especially those who are self-funded. For employers, brokers, Third-Party Administrators

The old saying, “an ounce of prevention is worth a pound of cure,” rings true today more than ever, especially when it

In recent years, independent pharmacies have faced immense pressures from varying factors, including rising costs, competition from large chain pharmacies, and the

January is the month of new beginnings, resolutions, and a renewed focus on health and well-being. This January, our focus is on

As the festivities of the holiday season approaches, it’s easy to be swept up in the whirlwind of activities, celebrations, and indulgences.

As we enter November, we are reminded that each breath is precious, particularly for those living with conditions such as Chronic Obstructive

As we mark National Diabetes Awareness Month this November, it’s crucial to elevate the conversation around diabetes—a chronic condition impacting millions across

As we approach 2025, the healthcare industry is bracing itself for a substantial rise in costs. This increase impacts self-funded employers, brokers,

Open enrollment is the designated period during which employees can select or make changes to their benefit plans. With various plan options

The congressional hearings revealed several concerning aspects of the PBM industry, particularly focusing on practices by some dominant entities. Here are the

Halloween is an enchanting time of year, when creativity and community spirit come alive. Whether you’re planning Halloween festivities in your neighborhood

October is Health Literacy Awareness Month, a pivotal time to shine a light on the significance of health literacy in today’s complex

As October’s annual Breast Cancer Awareness Month unfolds, it’s a reminder to amplify conversations around prevention, early detection, and advancements in treatment.

September marks AFib Awareness Month, a crucial period dedicated to increasing public understanding about Atrial Fibrillation (AFib). Commonly known as AFib, this

As September ushers in the fall season, it also brings an important focus on health with National Cholesterol Education Month. Understanding cholesterol

Understanding Gene Therapy Gene therapy is a revolutionary medical intervention designed to treat, cure, or prevent diseases by modifying a gene related

As summer draws to a close, August marks the advent of a pivotal time—Back-to-School season. As a PBM that advocates for the

Psoriasis is a chronic, autoimmune skin disorder that accelerates the growth cycle of skin cells. This results in patches of thick, red

As we observe July Awareness Month, it is crucial to shed light on the importance of eye health and vision care. This

Direct-to-consumer (DTC) advertising of prescription medications has emerged as a powerful force reshaping patient engagement and care delivery. Its significance is profound,

July is Sarcoma Awareness Month, a time dedicated to raising awareness about sarcoma, a rare and often overlooked form of cancer. Let’s

As the long days of summer arrive, the season presents an excellent opportunity to revitalize our lifestyles. Beyond just enjoying the warm

Rebates have become a focal point in discussions about pharmacy benefit management, with many seeing them as a straightforward way to achieve

Headaches and migraines significantly impact millions of people worldwide, leading to decreased productivity, missed workdays, and a lower quality of life. Understanding

As we observe June as Alzheimer’s and Brain Awareness Month, let us reaffirm our commitment to raising awareness, supporting research, and providing

The resurgence of measles, a highly contagious disease once thought to be nearly eradicated in many parts of the world, illustrates the

May is an important month dedicated to raising awareness about stroke prevention, recognition, and treatment. This observance serves as a reminder of

As the temperatures rise and flowers begin to bloom, many individuals find themselves grappling with the unpleasant symptoms of seasonal allergies. Let’s

According to the Skin Cancer Foundation, skin cancer is the most common type of cancer globally, with over 5.4 million cases diagnosed

Self-funded employers face the continuous challenge of managing benefits costs without compromising on the quality of care offered to their employees. A

April sheds light on a prevalent condition that affects millions globally but often remains under-discussed: Irritable Bowel Syndrome (IBS). As IBS Awareness

As April brings in a fresh bloom, it also marks a significant observance for a community that’s growing each year – the

Stress, when chronic and unaddressed, can lead to a multitude of health issues. Encouraging self-care is a fundamental step in preventing these

The question of achieving a balance between cost-efficiency and quality healthcare is at the forefront of pharmacy benefits discussions. This is where

March is National Kidney Month – a poignant time dedicated to heightening awareness about kidney health. Let’s explore the intricacies of kidney

To attract and retain top-tier talent, employers are increasingly recognizing the importance of offering comprehensive and competitive employee benefit plans. Self-funded employers

As the calendar turns to March, we are not just embracing the onset of spring but also taking strides towards bettering our

While not initially designed for weight loss, Ozempic and Wegovy have gained attention for their unintended yet beneficial side effects of aiding

March is a time for increasing public awareness about colorectal cancer, a term used to describe cancers that start in the colon

March is National Multiple Sclerosis Awareness Month, a time to increase public awareness of Multiple Sclerosis (MS), a serious and unpredictable disease

Managing healthcare costs continues to be a pressing issue across the spectrum of healthcare provision and benefits management. Containing these costs while

The diverse approaches to pharmacy practices in the United States and abroad reflect deeper healthcare system structures. In many industrialized nations, healthcare

Over the past two decades, the pharmacy industry has witnessed a dramatic shift in drug spend patterns. As stakeholders in the healthcare

Combination medications are multifaceted medications that are routinely prescribed and dispensed, yet their impact on pharmacy costs can be substantial. We’re here

Embracing a Pharmacy Benefit Manager (PBM) that operates with a consultative approach can transform not only the administration of benefits but also

According to the World Health Organization, cancer was the leading cause of death worldwide, accounting for nearly 10 million deaths in 2020.

The changing landscape of drug pricing is an ongoing concern for self-funded employers, brokers, third-party administrators, and pharmacy benefit manager consultants. As

Heart health is the cornerstone of overall well-being, yet it is often overshadowed by the immediacy of other components of health. Heart

The introduction of new-to-market medications can signal dramatic shifts in treatment paradigms, insurance formularies, and budget planning. As stakeholders strive to balance

Employers are constantly seeking ways to optimize their benefit offerings. One crucial aspect that demands careful consideration is the management of prescription

January is the month dedicated to raising awareness about a timeless act that holds the power to save lives – blood donation.

The thyroid—a small, butterfly-shaped gland located in the neck—may not be the center of attention in our daily lives, but its impact

As the calendar resets and resolutions take center stage, envisioning a healthier version of oneself becomes a shared aspiration. Here’s a comprehensive

Untreated mental health conditions can significantly impact an individual’s life, leading to decreased productivity, increased absenteeism, and diminished overall health. Statistics indicate

The Economics of Generics: Cost Savings, Safety, and Efficacy Cost Savings and Affordability The Cost Advantage of Generics Generics offer a substantial

Smoking is one of the most challenging public health issues facing the world today. With a wide array of negative health effects,

With healthcare costs on the rise and the need for tailored solutions more apparent than ever, it’s essential to have a robust

Throughout the year, our engaging blog series has taken a deep dive into the complex world of Pharmacy Benefit Managers (PBMs). We’ve

As we take a moment to look back on the articles we’ve shared throughout 2023,it becomes apparent that discussions about employee health

The pharmaceutical landscape is in a perpetual state of evolution, marked by advancements in drug therapies, pricing models, and regulatory changes. As

The landscape of healthcare has undergone a seismic shift, with an increasing emphasis on holistic well-being. The recognition of obesity as a

Choosing the right Pharmacy Benefit Manager (PBM) involves evaluating numerous options, each influencing plan management, cost-effectiveness, and member welfare. This process demands

In recent years, the practices of Pharmacy Benefit Managers (PBMs) have come under scrutiny, unveiling a lack of transparency and unfair methodologies.

The intersection of High-Deductible Health Plans (HDHPs) and effective pharmacy benefits has become a focal point for self-funded employers and Pharmacy Benefit

Navigating the complex terrain of pharmacy benefit plans presents an ongoing challenge for self-funded employers, TPAs, and PBM consultants alike. Evaluating the

Data analytics acts as a powerful lens, enabling PBMs and employers to decipher complex patterns within prescription claims and healthcare utilization. It

Pass-through PBMs stand in stark contrast to the conventional spread-pricing model. The fundamental difference lies in transparency—where the former provides a clear

Employee engagement is a concept that transcends being just a buzzword; it is a strategic imperative that carries profound significance for self-funded

Effective communication during open enrollment is not just a recommended best practice; it is a crucial component of successful benefits management for

A well-structured pharmacy network can significantly impact the health outcomes of your plan members and the overall financial health of your self-funded

One area that often confounds self-funded employers is the management of prescription drug costs. As these expenses continue to rise, it’s essential

Over the past decade, the pharmaceutical industry has witnessed a remarkable surge in specialty medications. These drugs are designed to treat complex,

The Pass-Through PBM – a groundbreaking approach that not only slashes costs but ensures value-driven healthcare management. Let’s explore the merits of

The enhancement of employee wellness while simultaneously managing healthcare costs efficiently proves to be a multifaceted challenge, one that can be mastered

Data, often referred to as the new “oil” in the digital age, holds immense value in the healthcare landscape. Self-funded employers have

As we navigate the complexities of modern healthcare, where costs often skyrocket and the demand for more affordable solutions intensifies, stakeholders such

Chronic diseases have become a significant health concern in the modern workplace, affecting millions of employees and resulting in substantial healthcare costs

Over the years, the traditional pharmacy benefit management (PBM) model has been the norm, but a newer approach known as the pass-through

Pharmacy Benefit Managers, or PBMs, are central cogs in the healthcare machinery. Yet, their role, functions, and influence on healthcare costs often

In the modern health care environment, PBMs do far more than performing essential functions such as claims processing, plan design, and administration

Pharmacy Benefit Managers (PBMs) have emerged as influential players in the health care sector. Occupying a crucial role in the delivery system

As the future of Pharmacy Benefit Management (PBM) unfolds, we see groundbreaking innovations set to revolutionize the industry. Here’s a deep dive

Navigating the nuanced and intricate world of the pharmaceutical industry is a complex endeavor. At its core, the dynamic relationship between Pharmacy

Fundamentally, price transparency in healthcare signifies accessible and comprehensible information about the cost of healthcare services. It entails that patients, employers, insurance

A partnership with a PBM can greatly enhance your business practice and help your company and its employees navigate the complexities of

A Pharmacy Benefit Manager (PBM) is a company that is responsible for administering prescription drug programs on behalf of plans and its

Self-funding, also known as self-insurance, is a mechanism in which an employer assumes the financial risk for providing healthcare benefits to its

The healthcare market in the US is rapidly changing and not always for the better. New regulations and ongoing consolidation of big

In the realm of healthcare, the delivery of prescription medications through mail order pharmacies has been gaining popularity. This trend has been

In recent years, the rising cost of specialty medications has become a significant concern for both patients and healthcare payers. These high-cost

When thinking of healthcare, we often consider hospitals, clinics, and primary care providers as the frontline warriors. However, it’s impossible to overlook

In the rapidly evolving landscape of healthcare, where costs continue to spiral upwards, stakeholders are on an unwavering quest for strategies that

In the intricate world of employer-sponsored health insurance, self-insured health plans are steadily gaining popularity as a go-to model for employers. This

The economic burden of prescription drugs extends far beyond the individual patient, spiraling out to the peripheries of the health insurance system,

In the fascinating, yet often perplexing world of healthcare, drug pricing stands as one of the most debated and critical topics. Several

Though not widely known outside the realm of healthcare, the influence of Pharmacy Benefit Managers (PBMs) on drug pricing and access to

With healthcare costs increasing year after year, many businesses are searching for strategies to maximize sustainability and affordability for the company and

Pharmacy benefit managers help employers provide and manage their pharmacy benefits for employees while honoring their bottom line. What does that mean,

MaxCare’s focus is to deliver quality, cost effective pharmacy benefit plans to its customers and plan members. MaxCare takes the time to

One thing that sets MaxCare apart from other PBMs is our focus on providing true transparency in our data analytics for our

What is RxEvolution℠? RxEvolution℠ by MaxCare is a chronic condition management program that provides support to plan sponsors and their members in

At MaxCare, we proudly encourage plan holders to support their local community pharmacies for two primary reasons: the outstanding customer service and

True transparency is one of our guiding principles at MaxCare, and we always want you to understand exactly what you are paying

Providing top-notch customer service is extremely important to MaxCare, and our team is proud to offer true transparency and personalized care while

Providing quality healthcare benefits is an important part of recruiting and retaining the talent you need in your organization. With prescriptions costs

When you work with a PBM to provide a pharmacy benefit plan to your employees, overall plan cost and medication cost for

MaxCare Rx strives to make it easy for each plan member to work with the pharmacy of their choice. As we fulfill

Rebates are a common topic of conversation in the pharmacy industry, and different pharmacy benefit managers (PBMs) handle pharmaceutical rebates differently. The key

As we look back at 2021 pharmacy trends, many are like the trends we saw in 2020. Ongoing impact of the COVID-19