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; ;If a vendor employee underperforms, do you report it to the vendor rather than issuing a warning yourself?

.; ;Vendors and experts.

Access a related Workspan Daily article on this subject: ;GLP-1 Costs Weigh on Employers, Forcing Coverage Considerations; Given the current state, Pamela Rich, a vice president at Business Group on Health, a nonprofit organization, said employers that continue to cover these drugs will need to: ;Evaluate their tactics to promote appropriate prescribing and utilization; and,; ;Identify changes for vendor partners to improve patient outcomes and manage costs.; She added that those electing to drop coverage for weight management applications should deliver candid messages to employees about what’s changing and why the changes were made.

Employers typically rely upon the medical and pharmacy benefits vendor to create formularies of drugs for coverage.

Measuremen t and Outcomes Evaluation Point Question Yes/No Medication adherence rate Does the vendor provide data on medication adherence for chronic diseases?

These employers are prioritizing: ;Changes to program subsidies;; ;Adoption of alternative plan designs;; ;Improving vendor or operational efficiency; and/or,; ;Utilization of more effective steerage or behavioral requirements.; Medical Conditions Spur Need for ‘Revolutionary Approach’ To address the rising impact of chronic conditions, employers generally cited the need to expand clinical programs, especially in areas such as cardiovascular health, musculoskeletal health, digestive health, obesity and oncology.

In addition to vendors such as DailyPay, PayActiv and Tapcheck, payroll service providers such as Gusto, Paychex and Paylocity also offer EWA.

Five Design Elements To design a partner program strategically, consider clarifying five key elements. 1) How do partners support or enhance the overall go-to-market (GTM) strategy for the vendor organization?

According to Kelsay, this may include: ;Rigorously evaluating benefit offerings, vendor performance and patient outcomes;; ;Exploring nontraditional health plan and pharmacy benefit manager (PBM) models; and,; ;Urging workforces to use health plan resources and navigation tools to find high-value care, use primary care, and get recommended screenings and immunizations

Cody Midlam, a pharmacy community director at consulting firm WTW, noted there are already many potential “partners” in this space, such as: ;Clinical vendors to support weight loss with or without GLP-1 drugs;; ;Vendors to facilitate various payment structures for GLP-1 drugs;; ;PBM programs;; ;Health plan programs; and,; ;Combinations of all the above.; “Because the list price cut does not guarantee lower net costs for employers, it is unlikely to materially expand coverage of GLP-1 drugs for obesity,” he said.