article thumbnail

PBMs and insurers want your prescription money

World of DTC Marketing

For many, these coupons represent the difference between filling a prescription and going without lifesaving care, but there is a lot more here than just a co-pay coupon. Health insurers have started effectively stealing co-pay coupons, leaving patients on the hook for far higher expenses. Let’s take a step back for a minute.

Insurance 226
article thumbnail

Sorry, the Inflation Bill won’t lower healthcare costs

World of DTC Marketing

The Inflation Reduction Act’s health insurance subsidies and drug pricing reforms will improve health care affordability for Americans but won’t do a damn thing for our overall healthcare costs, which will keep rising. population health issues increase, the risk of insuring the average American goes up. As the U.S.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

 The US accounts for more than 40% of all health spending.

World of DTC Marketing

Most Americans don’t have much of a choice for their insurance plan. Mor than 54 % get health insurance through their employer. The lack of choice limits competition, which can drive prices higher. According to KFF, “ the cost of health care often prevents people from getting needed care or filling prescriptions.

Insurance 154
article thumbnail

UnitedHealth-Walmart partnership heats up U.S. Medicare provider competition

Clarivate

Whenever a health insurer partners with retail giant Walmart, it has the ability to shake up the market. For 2023 Medicare Advantage open enrollment, the United States’ largest retailer will begin a 10-year partnership with the nation’s largest insurer. payer marketplace, please visit us here.

article thumbnail

Pharma is “big business” that uses excuses to keep prices high

World of DTC Marketing

Seventy-nine percent of Americans think the price of prescription drugs is “unreasonable,” according to a 2019 Kaiser Family Foundation poll , and about 9 in 10 say they support the idea of the government negotiating prices. Via Axios “The 10 highest-selling drugs in the U.S.

Pharma 241
article thumbnail

Market Access Disruption—How New Generic Players Are Changing the Game

PM360

Simplicity seems to be the aim here, by providing a fixed monthly price consumers don’t need to compare pharmacy prices or discern their insurance copay. Both programs list price information for the medications they provide, demonstrating the average savings based on retail and insurance prices.

article thumbnail

AI-driven risk prediction: A powerful underwriting tool in an era of high inflation

Prognos Health

The current inflationary environment makes accurate risk prediction more important than ever for health insurance underwriters. The more insight an insurer has into the current health of individual members or groups of members, the more informed the assessment.