New Source of Over-Utilization? Study Indicates Use of Retail Clinics May Be Increasing Healthcare Costs

Use of retail clinics leads to higher costs. Seems a bit counter-intuitive doesn’t it? You’d think that the use of retail clinics like those found in some CVS and Kroger stores and typically staffed by nurse practitioners would be apt to lower total costs. In fact...

Rx Shock: Ever Faced A 900% Increase Nearly Overnight? You’re Not Alone.

We are finding some crazy Rx trends that are translating into real world cost and care issues for our clients and their employees. Here’s a prime example. We recently found that a type 2 diabetes drug (GLUMETZA) increased in cost by 900%, nearly overnight. After...

10 Healthcare Trends to Look For in 2016

It seems the kickoff of a New Year fosters predictions, Top Ten’s, and various and sundry industry-related crystal ball lists. An article about consumer healthcare trends in this morning’s Fiscal Times (10 Healthcare Trends That Will Affect You in 2016) caught my eye....

Costs For Routine Colonoscopies and Who Pays? It Can Be A Real Pain… In the Pocketbook.

We’ve seen quite a spike recently in the number of claims issues clients’ employees are reporting related to the coverage of colonoscopies.  The problem almost always centers on billing for the service and payment of the claim.  Many employees report that they are...

More on the Impact of Anthem’s Data Breach

And What’s Being Done to Protect Those Affected… After attending a meeting, corresponding with an Anthem representative, and monitoring their website for updates, here’s more information on who’s at risk from the recent cyber attack and what steps Anthem...