A new WTW survey reveals that over half of employers exceeded their healthcare budgets in 2024 and expect rising costs to continue, prompting a shift toward cost-containment strategies, vendor accountability, AI adoption and alternative plan designs.

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Many employers are struggling to access their medical claims data from vendors. However, those who do have access are more likely to implement strategies to combat healthcare costs.

The post A Third of Employers Can’t Access Medical Claims Data from Vendors, Survey Finds appeared first on MedCity News.

A new Trilliant Health report reveals vast price variation for identical healthcare services, even for procedures delivered at the exact same facility. Allison Oakes, Trilliant’s chief research officer, urged providers to prove they are delivering true value for the cost and pressed employers to leverage their purchasing power to demand higher-value care.

The post Same Surgery, $220K Apart: Why Providers & Employers Need to Rethink Value Amid Price Disparities appeared first on MedCity News.

To deal with rising costs, employers are leveraging high performance networks, variable copay plans and exclusive provider organization plans.

The post Rising Healthcare Costs: What Employers Are Doing to Manage Expenses, Per Mercer appeared first on MedCity News.

Multiple reports indicate that employers can expect rising healthcare costs in 2025. To address these costs, employers are holding their vendor partners accountable and evaluating their health plan and PBM partners.

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[Sponsored] Join us Thursday, October 24, at 1pm ET for a webinar sponsored by Personify Health on how employers navigate the intricate challenges posed by rising healthcare costs while prioritizing employee health and well-being.

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The 32BJ Labor Industry Cooperation Fund recently unveiled two new tools for employers and unions: the Healthcare Savings Calculator and a model contract template.

The post 32BJ Labor Industry Cooperation Fund Launches New Tools to Reduce Costs for Employers appeared first on MedCity News.

Spending on prescription drugs for autoimmune diseases has increased by 459% over the past decade, even surpassing cancer drugs. Yet despite driving around 30% of employers’ entire prescription spend, autoimmune diseases have remained completely overlooked in employer health spend.

The post 3 Ways To Cut Employer Costs in Auto Immune Diseases And Promote Long-Term Employee Health appeared first on MedCity News.

About eight in 10 employers think drug costs, high-cost claims and hospital prices are a “significant threat to affordability,” according to a new survey from National Alliance of Healthcare Purchaser Coalitions.

The post Report: Less than Half of Employers Are Confident In Integrity of Hospitals, PBMs appeared first on MedCity News.

When asked what the biggest threats facing them were, 94% of employers said high-cost pharmacy claims, 91% said medical inflation and 91% said million dollar treatments being approved by the FDA, according to a new survey from the Midwest Business Group on Health.

The post High-cost Pharmacy Claims, Medical Inflation Among Top Threats for Employers appeared first on MedCity News.

In a recent analysis, the Kaiser Family Foundation estimated that 21 percent of employers offering health benefits will have at least one plan which applies for the tax.

The post Bipartisan effort to repeal ACA ‘Cadillac Tax’ gains steam appeared first on MedCity News.

Eden Health opened its first onsite health clinic at Convene’s newest and largest co-working location in New York City and plans to open 25 locations across the co-working company’s footprint over the next 18 months.

The post Eden Health and Convene want to merge healthcare and co-working appeared first on MedCity News.

The Affordable Care Act requires employer-sponsored group health plans to cover pre-existing conditions for all individuals regardless of prior coverage. 

The post Survey: Employers overwhelmingly support pre-existing condition coverage requirements appeared first on MedCity News.

The Amazon-Berkshire-J.P. Morgan healthcare venture launched last year and headed up by Atul Gawande has a website and finally a name: Haven.

The post What’s in a name? Healthcare’s big potential disruptor will be called Haven appeared first on MedCity News.

My educated guesses on where the payer market is headed in a rapidly changing healthcare landscape.

The post Four payer market predictions for 2019 appeared first on MedCity News.