“J-Codes” and “medical specialty pharmacy” claims are going to be one of the top two procedure categories in terms of cost within your health plan. Knowing the amount of waste and abuse can give you insight into how you can develop strategies to drive more cost-effective utilization of the plan, and even enhance the benefits to the plan members for that efficient behavior. By identifying these specific issues within your plan and implementing targeted, value-based strategies to address them, you could eliminate tremendous costs without any adverse effects to your population.
Join our Director of Data Analytics, Scott Mayer, talks about the financial perils and pitfalls of "J-Codes" within an employer-sponsored health plan, and how the power of data can unlock the secrets to managing its spend.
As HR professionals explore new ways to support and retain their workforce, benefits that reflect employees’ real lives are more important than ever. When organizations offer their people benefits...
Health FSAs On October 9, 2025, the IRS announced in Rev. Proc. 2025-32 the annual inflation adjustments for the 2026 tax year. Included in this announcement, and of consequence to the employee...
The benefits package that you offer to your organization represents a major investment. But are your employees truly getting the full value from it? And are there other components to the employee...