Industry Trend
Balancing Cost and Care: Rethinking Alternative Funding Models in Specialty Pharmacy
As specialty drug costs continue to rise, the pressure on employers, benefit administrators, and patients has never been greater. Golden Triangle Specialty Network (GTSN) is committed to helping stakeholders achieve the delicate balance between economic sustainability and high-quality patient care. By aligning financial strategy with patient outcomes, we support a smarter, more responsible approach to…
Read MoreThe Growing Challenge of Specialty Pharmacy Access
An estimated 133 million Americans are currently suffering from a chronic illness, such as hypertension, heart disease, and arthritis. That’s nearly half the population. It’s likely that someone close to you is silently navigating life with a chronic condition and potentially suffering from the effects of that condition every single day. In addition to the…
Read MoreThe Economics of Dialysis
The landscape of healthcare continues to evolve rapidly, presenting complex challenges in balancing cost management with high-quality care delivery. At Golden Triangle Specialty Network (GTSN), we are dedicated to navigating these complexities by developing sustainable solutions that prioritize patient outcomes without compromising financial viability. Our approach is particularly relevant in the context of dialysis, a…
Read MoreBalance Billing: Understanding Its Impact and GTSN’s Approach to Sustainable Solutions
The healthcare industry is navigating a period of rapid change, where managing costs and delivering quality care often feel at odds. Among the challenges faced by payors, patients, and providers is the issue of balance billing—a practice that can strain relationships and financial outcomes alike. At Golden Triangle Specialty Network (GTSN), we are committed to…
Read MoreSpecialty Pharmaceuticals: Driving Innovation and Cost Management
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…
Read MoreCare Coordination Solutions
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…
Read MoreThe Downside of Reference-Based Pricing: Balance Billing
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…
Read MoreJ-Codes & CPT Codes: How a String of Numbers Can Impact Your Bottom Line
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…
Read MoreImproving Access to Specialty Treatments and Care:
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…
Read MoreUncovering Cost Containment Opportunities in the Growing Dialysis Services Market
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,…
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