Pharmacy Benefit Management PBM Audit and Comparison Service –Truveris

I have been looking at ways for my large group employers to evaluate their Pharmacy Benefit Managers (PBMs).  This company Truveris appears to have an interesting angle on auditing PBMs, assisting in the bid process, and holding PBMs accountable in the long term.

They claim that they find 3 – 5% recovery on any audit that they perform.  Accountability is a good thing.  Stay tuned.

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Dave Petno Speaking Topic: Interactive Business Ethics…how do I know what is right?

“Treating your clients the way you would want to be treated.”  That is the essence of having strong and solid Business Ethics.

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Dave is now offering a seminar (30 minutes to 4 hours) in order to explore the practical and challenging aspects of business ethics.

Using the latest in live polling (www.polleverywhere), participants will text answers to ethical questions and dilemmas  for real-time audience feedback.  

Imagine how your employees will benefit through talking their way through simple questions such as:

  • Is it ever OK to lie?
  • Is it ever OK to lie to your child?
  • Is it ever OK to lie to a client?
  • How do we decide how we we interact with Clients, Co-Workers, and Vendors?  

These questions appear to be simple, but they elicit great debate and conversations among the audience.

This presentation can be customized to emphasize virtually any business or social situation.  

Target Audience:  Leadership, Managers, Employees, Community Groups, Others

 

 

Does a Private Exchange Make Sense for You? Video

Sun Life produced a very good video that covers the pros and cons of a private exchange.  We are evaluating these for our clients.  Due to our multi-choice options, most of our clients have already experienced the cost-saving aspects of of a private exchange without the added expense.  However, there are some enrollment and reporting benefits that some will enjoy, and will pay the price to do so.  

What do 20,000 pages of Obamacare regulations look like?

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I am 6’3.  I am standing next to a tower which represents the 20,000 pages of Obamacare regulations which have been relesased so far.  I am also holding the 2,700 pages of the original Obamacare Law.  Btw, my friend Z is 7’3.

And this is all going to reduce your costs….at least that is what they tell us.

Many thanks to Ohio Congressman Dave Joyce for bringing these along as he spoke to our group today.

Your Facebook Likes and Shares Actually Make a Difference

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Believe it or not, when you LIKE or SHARE something on Facebook, you are actually influencing which updates your friends and their friends will see in their News Feed.

I learned this recently when I was managing a FB page that was advocating for a really important cause.  The Page went viral and it had over 25,000 Likes in less than 5 days.  Initially I thought that when I posted an update, my post would go into the feeds of all 25,000 Likers.    However, I soon learned that FB initially only shows a post to approximately 10% of the Likers.   Once the post goes out,  FB monitors the engagement of the post.  If a post gets lots of Likes and Shares, FB shows it to more people who Liked the page and friends of the Likers.  This generates more Likes and Shares and then FB shares it with more people…and so on.  Due to the high engagement of our site, some of our most popular posts were seen by nearly 50,000 people!  

So the next time you read an interesting post, or if you agree with something someone says, Like it, or Share it, and you will be influencing the FB user experience in a positive way.  

No way to cancel Obamacare Coverage

This is worth a second look given the claim that there are 7,1 Million enrollees in Obamacare.

DAVEPETNO.COM

OK, so yesterday I finally received my invoice from the insurance company, and confirmed the coverage.  My test is now complete.

Since it was just a test, I had no intention to purchase the coverage.  I need to cancel my coverage with the insurance company before it goes into effect.

When I called the insurance company, they told me it would need to be done at http://www.healthcare.gov.  (I’m not really looking forward to going back there).

So I logged back on to the site, and looked for a cancel button.  Here are my options on the page.
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Note there is no button to cancel my current coverage.  So I clicked on the button that said REMOVE.   The following popped up.
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So back to the main screen where I searched again for Plans and Programs.   No Luck.

I then decided to call the 800# as was suggested on the…

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Obama Admin reverses ACA Medicare Cuts

From Kaiser Health News:
Under intense, bipartisan political pressure, the Obama administration backed down for the second year in a row on proposed payment cuts for insurance companies that offer private plans to Medicare members.

After estimating in February that the cuts required by the Affordable Care Act as well as other adjustments would reduce would reduce what it pays insurers next year by 1.9 percent per beneficiary, the Department of Health and Human Services said Monday it would instead give Medicare Advantage plans a raise of 0.4 percent.

Read the rest of the Article Here