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GLG News by Life & Health Insurance Experts

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Daniel BuckleMarch 28, 2007
The War on Drug Costs
Analysis of: Why Generics Do not Always mean Cheap | online.wsj.com
Author: Daniel Buckle, Principal, Employee Benefit Resources of South Texas
While the Wall Street Journal has done an admirable job exposing many of the ways PBMS have boosted profits at the expense of their customers they have not yet arrived at the flaws which make the current business models of PBMS susceptible to competition.
March 19, 2007
Life expectancy and cost of pensions promises seem set to continue to rise
Analysis of: Two-dimensional mortality data: patterns and projections | www.actuaries.org.uk
Author: GLG Expert Contributor
Life expectancies show a surprising degree of variation amongst developed nations.  Circumstantial evidence suggests that the U.K., U.S.A. and Germany have plenty of scope for further increases, compared to similar wealthy nations.  The implication of such increases would be increased cost...
December 4, 2006
Is PBM Transparency a Good Thing?
Analysis of: PBM transparency: More than meets the eye | www.benefitnews.com
Author: Michael Berman, Assistant Vice President, AON Consulting & Insurance Services
This article discusses transparency in the context of retail pharmacies; however, PBMs are most profitable in the mail order distribution channel.Transparent PBM deals have more guarantees than implied by this article.
November 24, 2006
High Performance Networks
Analysis of: Pay-for-Performance Plans Now Common Among HMOs | www.nlm.nih.gov
Author: Michael Berman, Assistant Vice President, AON Consulting & Insurance Services
One product the major healthplans are starting to sell are benefit plans (HMO's/PPO's) that utilize a high performance network (HPN).  The HPN is a more limited network of doctors who have shown that they are providing quality service and good value from a cost standpoint.
November 24, 2006
Walmart Program Beneficial to Consumers
Analysis of: Wal-Mart Expands Generic Drug Program | www.newsinferno.com
Author: Michael Berman, Assistant Vice President, AON Consulting & Insurance Services
Many people with health insurance have pharmacy plans with generic copays with flat dollar minimums of at least $5.Walmart may gradually expand the program or add additional pricing tiers.
November 24, 2006
Why Are They Dumping?
Analysis of: Trend: Consumers dumping HMO plans | www.fiercehealthcare.com
Author: Michael Berman, Assistant Vice President, AON Consulting & Insurance Services
HMO Plans have become very similar to PPO without an out-of-network benefit.Member cost sharing is typically lower than PPO plans making them more expensive.

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