How to Lower Prescription Drug Prices: Beyond PBMs to Complete Cost Control
Lowering prescription drug prices takes more than negotiating with PBMs. Self-funded employers can stack DPC, transparency, and direct contracting to control total spend.
Lowering prescription drug prices takes more than negotiating with PBMs. Self-funded employers can stack DPC, transparency, and direct contracting to control total spend.
Cost containment in healthcare is the discipline of cutting waste without cutting care. Here’s how self-funded employers find the spend and stop it.
Self-funding gives you the control, claims visibility, and flexibility to attack the cost drivers that fully insured plans actively hide from view.
Highlights Self-funded health insurance plans use a third-party administrator (TPA) to manage the program and process claims on behalf of its members. The right TPA provides high-quality customer service and keeps the plan compliant with state and federal guidelines. Choosing an efficient TPA for your self-funded health insurance plan helps
Behavioral and mental health costs are climbing fast. Here’s how self-insured employers use plan design and clinical care to control the spend.
Roundstone makes the transition to self-funded health insurance straightforward with a guided onboarding process, partner introductions, and claims setup.
Cancer treatment is one of the largest claim categories in any health plan. Self-funded employers can use steerage, centers of excellence, and case management to save.
Self-funded programs put employers back in control of healthcare cost through claims transparency, plan design flexibility, and aligned vendor partnerships.
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