Yesterday at the Construction Financial Management Association conference (#CFMAConf!) I presented “Health Care for Contractors: Making it a Competitive Edge.” I’ve been presenting to this group for seven years now, but this year the concern over large claims seems to have reached a fever pitch. Our Q&A and discussion was dominated by this topic as well as the increasing costs from Biologics/Specialty Rx. Contractors are feeling the pinch of both these dynamics, and many expressed concern that the ever-increasing large claims risk has stop-loss carriers looking deeply into the details of each and every claim to determine its validity. They also brought up the consolidation in the Pharmacy Benefit Management space, and what this might mean to the market and specifically their employees in the coming years.