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Check-In on 2021 Priorities

We're wrapping up first quarter of 2021 so it is a great time to check-in on how MBGH has been addressing our priorities. 

Health Equity

MBGH launched our Health Equity & Benefits initiative with a National Alliance webinar on the NCQA's Multicultural Healthcare Distinction Program. This program identifies organizations that excel in culturally and linguistically sensitive services and work to reduce healthcare disparities. Employers can ask their plans and vendors to follow this road map and get this distinction as an early step in addressing health equity in your benefits. Click here to watch the webinar and get a copy of the slides. Click here to learn more about the Multicultural Healthcare Distinction Program from NCQA. 

Pharmacy Benefit Management

(1) MBGH members participated in a 2-part workshop series focused on eliminating waste in  pharmacy benefits. Using the Purchaser Business Group on Health Removing Waste from Drug Formularies guidebook and Wasteful Drug Spending Savings Calculator to identify specific opportunities they had for savings (email [email protected] for a copy of the calculator). Two similarly sized TN multi-employer organizations each found approximately $500,000 in savings. Click here for results from other employers.

(2) In a webinar, Holmes Murphy highlighted where the hidden profits are for TPAs and PBMs.  An emphasis was placed on "red flags" in both TPA and PBM contracts that are likely resulting in increased costs and/or loss of savings to the employer.  A copy of the highlights from the PBM portion of the webinar will be emailed to MBGH members. MBGH members also have an opportunity for a complimentary 30-day engagement to audit all agreements, conduct risk analysis and assessment, and identify savings opportunities. MBGH members email [email protected] for more information.

Mental Health

The first employer's session for the TN Path Forward for Mental Health & Substance Use initiative focused on a major pain point for employers: high out-of-network use. Darcy Gruttadaro with the APA's Center for Workplace Mental Health explained that network administrative burdens, low reimbursement rates, provider shortages, and inaccuracies in provider directories all contribute to lower in-network use. Click here for a copy of the slides. In addition to addressing these issues, solutions include providing support to in-network primary care physicians that are providing behavioral health care and continuing a robust tele-behavioral health program even after COVID-19.

Posted by Cristie Travis at 8:26 AM

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