Council Members in this Study Group: 179
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Assistant Vice President
AON CONSULTING & INSURANCE SERVICES![]()
Michael Berman is the Assistant Vice President at Aon Consulting. He is an experienced group health actuary with over 10 years of broad insurance and consulting experience. Mr. Berman has extensive expertise in the areas of pharmacy, medical, and disability...
Tim SperryPresident & Owner
The Tim Sperry Group![]()
Tim Sperry is the President and Owner of The Tim Sperry Group, a consulting firm he started in 2006. The Tim Sperry Group offers consulting services to small, medium and large companies in the natural, organic and specialty products channel. They specialize...
Opinions and analyses expressed in GLG News are solely those of the author. See the Terms of Use for details.
Medical Tourism Has Price Transparency - The United States Has Opaque Pricing
September 7, 2007
American's Gamble for Bargain Surgery Abroad | www.medpagetoday.com
The United States has very limited price transparency for medical providers and facilities. The lack of price transparency artificially raises costs in the United States because there is very little price competition for services. This is true even in areas where there is excess capacity.
Transparency to the Client is Paramount
July 24, 2007
Insurance brokers reconsider taking insurer commissions | www.marketwatch.com
Contingent commissions, if not disclosed, can result in brokerage clients not knowing how much they are paying for the services they receive from their risk brokers. A commission should be viewed as just an alternative to fee-based consulting. In theory the amount of commissions received should equal fees a client is willing to pay as commissions are built into insurance premiums.
You Need to Consider Drug Mix and Plan Design
May 29, 2007
Comparison of Mail Order with community Pharmacy Cost | www.amcp.org
It is universal that the mail order distribution channel has lower generic utilization than the retail channel. PBM pricing is always better for mail order scripts versus retail. In addition, plan design is a major component of net claim costs.
Quality and Service Will Suffer With Outsourcing
May 28, 2007
Insurance Outsourcing Focuses on India | www.insurancejournal.com
Outsourcing won't work well until the Indian outsourcing firms develop the core competencies of key insurance operations.
Is PBM Transparency a Good Thing?
December 4, 2006
PBM transparency: More than meets the eye | www.benefitnews.com
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.