ENGEDI RXperts

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Busting pharmacy costs down to size. A guide for healthcare brokers and employers


    • Aug 26, 2022 LATEST EPISODE
    • every other week NEW EPISODES
    • 19m AVG DURATION
    • 7 EPISODES


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    Latest episodes from ENGEDI RXperts

    TPAs providing employers savings, flexibility and perhaps improved outcomes...What every broker and employer needs to know

    Play Episode Listen Later Aug 26, 2022 13:51


    This week on ENGEDI RXperts we speak with Melody Smallwood of the TPA, Allied Benefit Systems.  Melody educates us not only on the savings an employer can garner from moving to being self-funded but also the opportunities and potential to provide improved health outcomes.  Listen in to hear what Melody has to say as we explore how to bust healthcare costs down to size.

    Fully funded, level funded or self-funded, what is an employer to do?

    Play Episode Listen Later Aug 9, 2022 32:14


    This week ENGEDI RXperts speaks with Jonathan Frisch of McGriff Insurance Services.  Jonathan discusses fully funded, level funding as well as self-funding for employers and how he guides employers to pick the best path based on the company's situation, needs and flexibility.  Jonathan also goes into depth on disease management programs and other carve out programs that allow employers to get their costs under control.  Finally, Jonathan discusses his view on the direction this all goes for the future.

    Stop Loss: What every broker and employer needs to know

    Play Episode Listen Later Jul 28, 2022 18:59


    This week our guest is Mike Remeika of Skyward Specialty Insurance.  Mike is a recognized leader and expert in self-funding and stop loss.  Listen in as Mike joins the conversation with ENGEDI RXperts.

    Conversation with Matt Henderson, Health Rosetta Associate Advisor

    Play Episode Listen Later Jul 25, 2022 19:25


    This week on ENGEGI RXperts we speak with Matt Henderson, Employee Benefits Consultant and a Health Rosetta Associate Advisor, on improving performance with healthcare benefits leading to reduced costs, improved quality and increased satisfaction for the employer and the employee.  Employers that implement these strategies decrease their overall medical spend by 20-40%.  Listen in to hear what Matt has to say.

    Manufacturer Assistance on Medications: What Every Healthcare Broker, Account Manager and Employer Needs to Know

    Play Episode Play 30 sec Highlight Listen Later Jul 18, 2022 10:48


    This week on the ENGEDI RXperts, we discuss Specialty medications and Manufacturer Assistance.  Specialty Medications are driving up employer costs and can represent 45-55% of the entire pharmacy plan spend.  Manufacturer Assistance on these expensive medications can help employers and employees keep costs in line but having the right plan design in place as well as expertise in pursuing assistance is essential.In this episode, we help healthcare brokers, account managers and employers gain the knowledge needed to successfully navigate.

    Personal Importation of Medication

    Play Episode Listen Later Jul 11, 2022 15:25


    Personal Importation of Medication is gaining in popularity as a way for U.S. citizens and U.S. employers to save money on expensive, branded medications.  There are a few misconceptions out there and knowing what is legal and allowable can be confusing.In this week's podcast, the ENGEDI RXperts  review Personal Importation of Medication and answer the below questions.    What is Personal Importation?The History of Personal ImportationIs Personal Importation Legal?Is Personal Importation Safe?Is Personal Importation Taxable?Does Personal Importation Save Money?We hope this episode is helpful to healthcare brokers, account managers and employers as you consider the benefits that Personal Importation of Medication can offer in terms of savings.Links for U.S. law, FDA guidance and IRS documents discussed in the program.https://www.congress.gov/108/plaws/publ173/PLAW-108publ173.pdfhttps://www.fda.gov/industry/import-basics/personal-importationhttps://www.irs.gov/pub/irs-pdf/p502.pdf

    Drug Companies and PBMs: What you don't know will cost you!

    Play Episode Play 30 sec Highlight Listen Later Jul 7, 2022 24:50


    Ever wonder why we pay so much more for medications in the US than the rest of the world?  Is there anything that can be done about it?  In this informative presentation, Alan Greensmith of ENGEDI RX discusses the issues and real life answers for taming an employer's pharmacy costs.  An informative program for healthcare brokers and employers that want to understand the pharmaceutical landscape and what can be done to bust the pharmacy spend down to size. 

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