01/27/2026
Last week, a client got their renewal.
22% increase.
From a fully insured carrier.
When we asked if there was anything they could do to help, the response was:
“Out of loyalty, we can offer a 1-point reduction.”
HOW. GENEROUS. 🙃
We also asked a simple question:
Any solutions for the rising cost of expensive medications driving this increase?
Answer:
Let's just say no.
So… we start researching options.
We marketed the plan.
Here’s what we’re actively exploring right now with options that can provide:
Outsourcing certain prescription costs
Manufacturer assistance programs
PAPs (Patient Assistance Programs)
Alternative solutions that may return rebates back to the employer
Strategies that lower the very drug spend the plan is being penalized for
This isn’t about chasing shiny objects.
It’s about creative, compliant solutions that actually address the problem instead of accepting it.
Employers:
The right partner will
Ask uncomfortable questions
Translate complex information into real choices
Help you make smart, informed decisions, not emotional ones
Loyalty is great.
But loyalty without strategy gets expensive.