DTR Analysis for July: HMO Enrollment
The shift of members from commercial fully-insured programs to employerself-funded programs continues as larger employers (300+ employees) seekto control their benefit structures and reduce overall costs; and as insurersmove from risk to administrative services only (ASO) programs. The so-calledconsumer-directed or employee-directed plans are a major driver of thisshift, according to Robert L. Trinka, MBA, chairman and chief executiveofficer of Uniphyd Corp., a Medicare managed care organization.
Conversations With Perry and Friends: Paul Fronstin, Ph.D.
May 9th 2025Perry Cohen, Pharm.D., a longtime member of the Managed Healthcare Executive editorial advisory board, is host of the Conversations with Perry and Friends podcast. In this episode, his guest is Paul Fronstin, Ph.D., director of health benefits research at the Employee Benefit Research Institute.
Listen
Conversations With Perry and Friends
April 14th 2025Perry Cohen, Pharm.D., a longtime member of the Managed Healthcare Executive editorial advisory board, is host of the Conversations with Perry and Friends podcast. His guest this episode is John Baackes, the former CEO of L.A. Care Health Plan.
Listen
PBM Transparency: Can It Be More Than a Buzzword?
July 1st 2025Employers, some lawmakers and others have criticized pharmacy benefit managers (PBMs), especially the "big three," for having complicated, sometimes hidden practices. The PBMs say they have responded with programs and policies that add transparency to what they do.
Read More
