Episode 47 - State and Federal Benefits Legislation Under a New Administration
HR Benecast
by HR Benecast
2w ago
Our host, Mike Stull, talks with Employers Health's Senior Vice President, Regulatory Compliance and External Affairs Madison Connor as she covers the latest state and federal employee benefits and PBM legislation under the new presidential administration. Together, they'll cover proposed bills affecting anti-steering legislation including mail vs. retail, preferred pharmacy networks and more. They'll discuss how Rutledge vs. PCMA affects state pharmacy reimbursement laws, ERISA preemption and more. Finally, hear how the rule-making process under a new president could affect your benefit plans ..read more
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Episode 46 - Cell and Gene Therapy
HR Benecast
by HR Benecast
2M ago
Cell and gene therapies (CGT) are widely considered a triumph of scientific innovation, focusing on providing cures for diseases rather than treatments. By 2030, it’s predicted that over 100,000 U.S. patients will utilize some form of CGT. While CGTs are revolutionary, these therapies come with a giant price tag, leaving many employers wondering how they’ll afford potential CGT use for their population.     In this episode, Employers Health’s Mike Stull is joined by Drew Wilkins, managing director at Deloitte Consulting to discuss the major costs associated with CGTs, how companies c ..read more
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Episode 45 - Ask Mike Anything - Your Pharmacy Benefit Questions Answered
HR Benecast
by HR Benecast
6M ago
In this episode of HR Benecast, Mike Stull and Eric Dublikar cover your pharmacy and employee benefits questions including:   What's new in federal and state pharmacy benefit legislation. How Employers Health is working to help clients manage changes to their PBM plans.  What the switch to biosimilars for Humira and Stelara means for plan sponsors?  What impact are GLP-1s having on employer drug spend? Trends in GLP coverage for weight loss ..read more
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Episode 44 - Pharmacy Benefit Rebate Credit
HR Benecast
by HR Benecast
8M ago
This episode features Employers Health Chief Operating Officer, Zach Hostetler. He joins our Chief Sales Officer, Mike Stull to discuss pharmacy benefit rebate credits and why they exist. They'll cover how rebate credits are calculated, how long we can expect rebate credits to be around, how Employers Health is working to validate the value of the rebate credits and more.  ..read more
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Episode 43 - Pharmacy Benefits Legislation
HR Benecast
by HR Benecast
10M ago
In this episode, we're joined by Madison Connor, senior vice president of regulatory compliance and external affairs at Employers Health. She will share the latest in state and federal PBM legislation. Hear who's behind many of the recent PBM legislative initiatives, how PBMs like CVS and Optum Rx plan to handle these newly-proposed state laws and discover how employers can prepare for these new requirements.  ..read more
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Episode 42 - Fiduciary Duties: A Wakeup Call
HR Benecast
by HR Benecast
1y ago
Hear from employee benefits and compensation lawyer, Jeff Zimon as he covers why fiduciary obligations are making headlines and what the Johnson & Johnson lawsuit means for plan sponsors. He covers steps employers can take to ensure they are fulfilling their fiduciary duties, the importance of summary plan descriptions (SPDs) and the need for proper pharmacy benefit documentation.  ..read more
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Episode 41 - The Latest in GLP-1s for Employers and Consultants
HR Benecast
by HR Benecast
1y ago
The first 2024 episode of HR Benecast features Courtney Keefe, Employers Health's resident GLP-1 expert. She'll share utilization, discontinuation and coverage trends for GLP-1s and anti-obesity drugs. Listeners will hear the latest on anti-obesity drug coverage under the pharmacy benefit, new drugs in the pipeline and how the big PBM's are managing drugs like Wegovy, Mounjaro and Zepbound.  ..read more
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Episode 40 - Stop Loss and Catastrophic Claimant Risk Management
HR Benecast
by HR Benecast
1y ago
On our last episode of 2023, we sit down with Ryan Siemers, founder and principal at Aegis Risk to cover all the intricacies of stop loss. As the costs of catastrophic claims continue to grow, reinsurance protection and medical stop loss are more important than ever. Listen to hear how costly gene therapies are impacting deductibles, potential health care industry changes could drive prices even higher and more.  To learn more about the Aegis Risk Medical Stop Loss Premium Survey visit https://www.aegisrisk.com/copy-of-stop-loss-premium-survey-header and to register to hear Ryan Siem ..read more
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Episode 39 - What Should Employers Know About Pharmacogenomics?
HR Benecast
by HR Benecast
1y ago
In this episode of HR Benecast, we're joined by Travis Baughn, vice president of clinical solutions at Optum Rx. Listen to hear how pharmacogenetics works and its importance for employers. He'll share what plan participants need to know, and how it can be used to reduce medical waste and long and complex medication journeys.  For additional resources on pharmacogenomics, please visit cpicpgx.org and pharmgkb.org.  ..read more
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Episode 38 - Obesity and What it Means for Plan Sponsors
HR Benecast
by Employers Health
1y ago
Nearly half of working Americans have obesity, raising the risk of Type 2 diabetes, heart disease and stroke. Hear from George Huntley, founding member and CEO of the Diabetes Leadership Council, about the importance of addressing obesity and the role it plays in employee retention. He'll share successful treatment options and the direct and indirect benefits for plan sponsors and their participants.    ..read more
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