Industry Trend

The specialty pharmaceutical market is exploding, projected to grow from $68.3 billion in 2023 to $1.53 trillion by 2033.1 While innovation drives advanced treatments for complex conditions, skyrocketing costs pose challenges for payors and providers. Golden Triangle Specialty Network (GTSN) offers unmatched cost management solutions, helping stakeholders navigate this evolving landscape with savings-focused strategies in…

Delivering Innovative Care Coordination Solutions for Patients & Payors Healthcare costs are rising, making finding effective care coordination solutions essential for employers, TPAs, and patients alike. Golden Triangle Specialty Network (GTSN) is tackling this challenge head-on, offering a unique approach to managing specialty medications and controlling costs. With GTRx, our Specialty Pharmacy Network, we connect…

Reference-based pricing (RBP) offers cost savings by reimbursing providers based on a predetermined rate. However, RBP has a major drawback that can lead to unexpected, often substantial, medical bills—balance billing. What is Balance Billing? Balance billing occurs when providers charge patients the difference between their fee and what insurance covers, often leading to surprise costs—especially…

J-Codes and CPT Codes might seem like just a string of numbers, but for brokers and Third-Party Administrators (TPAs), they can make a big difference in managing healthcare costs. Understanding the nuances is key to controlling costs and ensuring efficient benefit management.   What are CPT Codes? CPT codes are numbers that healthcare providers use…

A Vital Priority for TPAs and Payors Access to specialty treatments and care remains a critical concern for Third-Party Administrators (TPAs) and other payors. These advanced therapies often come with high costs and logistical challenges, creating significant barriers for patients in need. Golden Triangle Specialty Network (GTSN) is dedicated to addressing these challenges head-on, providing…

The dialysis services market continues its upward trajectory, with a projected compound annual growth rate (CAGR) of 1.29% from 2023 to 2029.1 As the dialysis services market evolves, medical cost management solutions are making a significant impact on employers and third-party administrators (TPAs) who are facing high claim years. With emerging trends and shifting demographics,…