Engaging With the Executive Andy Dare, Assistant Vice President and Senior Actuary, Supporting Large Group Each issue of Communiqué will highlight an executive in one of our lines of business. We hope you will get to know the executives a little

The changes in this update apply to all groups that use OptumRx The majority of these updates include decisions that occurred as a result of the November 2025 Pharmacy and Therapeutics Committee (P&T) meeting. Members impacted by these changes were

If you’re managing an organization today, you already know the pressure — injury claims and medical costs don’t just rise slowly— they spike. PAI takes a practical, partner‑first approach to claims that protects both your employees and your bottom

With the right knowledge, you can stay healthy and keep growing through all life’s seasons. Pregnancy If you are thinking of having a child, be sure to talk with your health care provider about your plans. He or she can offer you advice based on your history and current health. When you become pregnant, your doctor can help you stay on track. Be sure to attend all your prenatal checkups, follow-up visits and screenings.

As organizations continue to compete for talent and strengthen their overall benefits strategies, voluntary benefits have become an essential component of modern workforce planning. Employers increasingly rely on brokers to deliver flexible, cost

Engaging With the Executive Toni Hankins, Vice President of Operations for BlueChoice HealthPlan of South Carolina Each issue of Communiqué will highlight an executive in one of our lines of business. We hope you will get to know the executives a

Gene therapy is changing the way we think about healthcare and treatments for chronic diseases—and for self‑funded employers, it’s bringing serious financial shock potential. With many therapies priced between $2 million and $4 million per treatment, a single claim can throw an entire plan year off balance [1–4]. Additionally, as the number of FDA‑approved cellular and gene therapies keeps climbing, traditional stop‑loss coverage isn’t built to handle this level of volatility anymore [5, 6].

A healthy heart helps you feel your best. Many people skip simple steps that can help. Taking your medicine and making smart choices each day can keep your heart strong. Here are four ways to care for your heart. Medication Adherence If you have been