High-Cost Claims

Latest Resource

High-Cost Claims Resources

The Pulse of the Purchaser study gauges concerns and approaches of employers to address the workforce environment; whole person health, equity, women’s health, mental health and obesity management; fiduciary perspectives; pharmaceutical […]

This two-part Action Brief series (see links, below) covers the basics of the fast-growing field of life-changing, life-saving — and costly — cell and gene therapies (CGTs). Learn to navigate […]

As healthcare costs increase, employers and other plan sponsors continue to explore strategies to better manage pharmaceutical costs. Given that prescription drug spending accounts for 18% of all healthcare spending, […]

For decades the PBM industry has been plagued by misalignment, opacity, and consolidation. Rather than improving drug value and creating an efficient marketplace, the industry has fueled a flawed model […]

The private sector is bringing new expertise and momentum to an effort once thought impossible—the end of the HIV epidemic in the U.S. It’s going to take leaders across business […]

Even with significant efforts to improve care, medical errors in hospitals that harm patients still occur at alarming rates, causing substantial avoidable financial and human costs. Improving patient- and family-centered […]

Coalitions In Action

Membership in the National Alliance is a catalyst for state and regional coalitions and their employer/purchaser members to advance key initiatives. Together, they leverage their collective influence to drive health, equity and value.

quote
High-cost claims are a highly credible threat to employer-sponsored healthcare coverage. Unified employer action will drive risk mitigation.
Shawn Gremminger, President & CEO
National Alliance of Healthcare Purchaser Coalitions

Mitigating High-Cost Claims

Addressing a Rapidly Escalating Challenge

The management of high-costs claims is diverse and complex with various stakeholders increasingly conflicted and less motivated to work with self-insured plan sponsors. Market solutions exist in some areas but are unevenly deployed. 

The National Alliance is amplifying the employer/purchaser voice through collective action and creating momentum through its high-cost claims initiative. It brings together coalitions and employers from across the country to address emerging issues and challenges.