Of the 10 essential health benefits that must be included in small-group and individual products sold on health insurance exchanges in 2014, the rules governing prescription drugs have changed the most since HHS’s initial guidance. Health plans must create a more substantial pharmacy benefit than initially expected, which could impact their ability to contain costs.

Designing Pharmacy Benefits in Health Insurance ExchangesDesigning Pharmacy Benefits in Health Insurance Exchanges sheds light on the tactics insurers should employ to nail down drug benefit designs that avoid adverse selection, fulfill government requirements and win healthy members.

This report taps two national experts on health reform and pharmacy benefits to outline the health insurance exchange regulations governing pharmacy benefits, and offers strategies for maximizing the value of the pharmacy benefit while still complying with state and federal rules.

For more information or to order your copy today, please call 888-446-3530 or visit:

With straightforward advice presented in an easy-to-follow question-and-answer format, Designing Pharmacy Benefits in Health Insurance Exchanges will help you get to the bottom of key issues such as mid-year formulary changes and how specialty drugs might be treated under the regs. And relevant regulations and bulletins give you the tools you need to make sure your pharmacy benefit design complies with state and federal exchange requirements while balancing cost with access.

For a detailed table of contents or to order your copy today, please visit:

Please feel free to contact our customer service department with any questions you may have.

Warm Regards,

Melanie Matthews
Executive Vice President
The Healthcare Intelligence Network
800 State Highway 71
Suite 2
Sea Girt, NJ 08750

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