Yesterday, Sun Life was the first Insurer to announce that because of plan members inability to access Dental claims given COVID-19 mandated shutdowns of dental practices (and a subsequent move to emergency only services) that they were refunding their (non-refund/non self-funded) dental plans with a 50% premium credit retroactive to April. This billing premium credit [...]
Although, these figures are historical (not released regularly), it is easy to see that Plan Sponsors should be encouraging plan members to be wise consumers and to look at the cost that pharmacist are charging for professional drug dispensing fees. Since guidelines were enacted a number of years ago, aimed at eliminating certain incentives/rebates to [...]
Sun Life recently released 2 exceptional benchmarking reports for the under 50 and plus 50 employer marketplace. Unfortunately, they did not summarize the results in an Executive Summary, so it is unlikely any plan sponsor will read a 56 page and 72 page report. (What were they thinking). That means this data from over 20,000 benefits [...]
Ontario’s new Conservative government has announced changes to the province’s youth pharmacare program to make it second payer for Ontarians under age 25 who have coverage through private benefits plans. “Today, our government is announcing our intent to fix the OHIP+ program by focusing benefits on those who do not have existing prescription drug benefits,” [...]
EXECUTIVE SUMMARY In 2016, Express Scripts Canada’s analysis of private-plan spending trends once again reflected opposing cost forces. Factors driving an increase in drug spend have outweighed downward pressure on drug costs. At the same time, high-cost drugs and high-cost patients continued to create troubling trend acceleration. These new medicines offer high cure rates for [...]
