Preparing for an Unprecedented Open Enrollment

Preparing for an Unprecedented Open Enrollment

Open enrollment following the COVID-19 pandemic will be unlike any other in recent memory. Many organizations are still trying to recover from extended closures and maintain safe working environments—open enrollment is the last thing on their minds. Yet, procrastinating on enrollment planning can actually cause more issues than it solves. This article explains what employers can expect this enrollment period and how to prepare. (more…)

Brace for Impact

Brace for Impact

We’ve all likely seen at least one of the countless movies sharing this plot. You know the script: Large rock hurtles through space on a collision course with earth, leading to what will result in a mass extinction level event. That is, of course, unless divine intervention or the planet’s greatest minds hatch a plan to divert path of said rock.

Forgive our sense of the dramatic (and love of clever word play), but this scenario recently came to mind as we awaited what we thought was the imminent market introduction of gene therapy Roctavian. If you follow these sorts of things, you would know that Roctavian just received a rejection from the FDA. (more…)

Be Prepared: New Wave of Costly Rx Claims on the Horizon

Be Prepared: New Wave of Costly Rx Claims on the Horizon

If recent events have taught us anything, it is to be prepared for the unexpected. While none of us could have fully predicted the dramatic impact of COVID-19 on our families, organizations, and the world economy, hindsight reveals safeguards we might have put in place to lessen the damage.

Ironically, this is a subject I had been wrestling with well before the coronavirus was receiving any attention from the international media. Those of you who follow our firm’s work know we have long been concerned about the growing economic threat posed by rising specialty drug costs to employer-funded health plans and their members. It actually dates back to 2005, when I first learned about a $125,000 oncology drug that didn’t save lives. On average, it only extended life by less than two months of sub-optimal living. (more…)

All is Not Well: Survey Reveals Some Disconnect

All is Not Well: Survey Reveals Some Disconnect

We recently conducted a survey of Ohio employers, posing questions about their wellbeing programs. Participants were asked to rate their company’s actual performance compared to their desired performance in fourteen categories on a five-point scale. (more…)

You’ve Been Warned: This is Not a Drill

You’ve Been Warned: This is Not a Drill

The COVID-19 pandemic has revealed any number of shortcomings in our readiness to face a healthcare-related crisis, and our handling of HIPAA privacy and security rules in the workplace is certainly one of them. Unfortunately, it didn’t require a global emergency to know that all too many organizations are falling woefully short when it comes to having adequate HIPAA plans and procedures in place. (more…)

Necessity is the Mother of Invention… and Progress

Necessity is the Mother of Invention… and Progress

COVID-19 safety concerns have redefined “normal” for countless aspects of our lives and nowhere is that more apparent than healthcare. Some things, like discretionary testing and surgeries, will probably return to the pre-corona standard. But others (think telehealth visits) have achieved a new level of acceptance and may become the standard of care in many situations. (more…)