Ethos Benefits

Absolutely ECSTATIC to share the good news... Congrats, Chelsea Ryckis, CHVA!

They're going to nickel and dime you to death...but there IS a solution... Let us explain... Spread pricing is unfortunately, an extremely common practice for Pharmacy Benefit Managers (PBMs). When they activate this tactic, you or your healthplan is charged a higher price for a prescription drug claim than what they actually pay the pharmacy to fill the prescription. The PBM then keeps the difference between the two amounts which is known as the "spread." For example, if a PBM pays a pharmacy $50 for a drug but charges the health plan $70 for that same drug, the PBM retains the $20 difference as profit. Spread pricing can add substantial hidden costs for employers, health plans, and ultimately, patients. But now for the good news... You have a better alternative... ?? ????????-?????????????? (???? ??????????????????????) ?????? ?????????????? ??????????. In this model, the pharmacy benefit manager (PBM) charges you exactly what the pharmacy is paid for the prescription drug, with no hidden markups or price differences. There's an administrative fee built in that is transparent and often rebates are also passed through. If you need help with this update to your next plan...message us! #employeebenefits #consulting #fiduciary #healthinsurance #plansponsor

Large PBMs often steer members toward more expensive medications, pocketing bigger profits through rebates, which means you're stuck with higher bills. Ugh. They charge you more for prescriptions than they pay pharmacies, keeping the difference—a hidden markup known as "spread." Even worse, PBMs negotiate rebates with drug manufacturers but frequently retain those rebates for themselves, sometimes hiding them offshore. Additionally, PBMs create revenue streams from manufacturers through “access fees,” and many own their own specialty and mail-order pharmacies, leading to conflicts of interest that drive up costs. While they may advertise low administrative fees, hidden charges often lurk in the fine print, adding significant extra costs for clients. Don’t let these hidden PBM costs derail your health plan budget. It’s time to demand transparency and fairness in your pharmacy benefits. Message us immediately to learn how we can help you navigate these challenges and save money on your health plan!

Thank you to the HR professionals who go above and beyond to ensure their employees feel valued, supported, and empowered. Your tireless efforts make a difference every day. #HRProfessionalDay

Thank you to the HR professionals who go above and beyond to ensure their employees feel valued, supported, and empowered. Your tireless efforts make a difference every day. #HRProfessionalDay

The Consolidated Appropriations Act (CAA) of 2021 is shaking things up when it comes to health benefits for employers. This law aims to make things clearer and fairer, giving you more control over your health plans. But with all these changes, it can feel a bit overwhelming. Are you ready to tackle this? No worries—we’re here to help you understand what the CAA means for your company! From figuring out your responsibilities to making sure your vendors are being honest, we’ll walk you through everything you need to know. Whether you want to improve your benefits or just make sure you’re following the rules, we’ve got your back. Together, we can turn these changes into chances for better health for your employees and a happier workplace. Let’s dive in and make sense of the CAA for a brighter, more transparent future in healthcare! By the way, you don't need to leave your broker for a CAA Compliance Evaluation. Message us today.

Shocked by the stats? ?? According to Deloitte, women are 31% more likely than men to skip medical care due to cost. ?? That's a huge gap and it's NOT ok. It's time to talk about women's health and the barriers they face. Let's work together to create benefit programs that meet the needs of your female population, too. It's not nearly as difficult or costly as you think. Message us to start the convo.

SAME MRI! SAME MRI MACHINE! Enough is enough! ?? Don't overpay for healthcare. We had a client's employee that was quoted $14,000 for an MRI at a hospital. We found the same MRI at a nearby facility for only $400. The nearby facility wasn't running a massive sale on MRIs either, btw. This is just where our team shines their brightest on ensuring that YOU and your entire company receive service like this. This is what we mean when we say that the focus needs to be on the "cost of the claim," not the claim itself.

SAME MRI! SAME MRI MACHINE! Enough is enough! ?? Don't overpay for healthcare. We had a client's employee that was quoted $14,000 for an MRI at a hospital. We found the same MRI at a nearby facility for only $400. The nearby facility wasn't running a massive sale on MRIs either, btw. This is just where our team shines their brightest on ensuring that YOU and your entire company receive service like this. This is what we mean when we say that the focus needs to be on the "cost of the claim," not the claim itself.

Raise your hand if you've ever been told, "There's nothing you can do to control that cost of your health insurance." Sound familiar? Feels icky? It should. It's all a part of the big lie that you've been told. Watch the video below and let us know you're thoughts...