Industry news
Navigating the New Terrain of Drug Rebates Post-American Rescue Plan Act
Senate Finance Committee Advances PBM Reform for Better Healthcare Outcomes
In healthcare significant attention has been recently focused on how PBM fees are not aligned with improved overall cost of care, but rather with decreasing drug spend for the payer. As drug prices continue to increase, the net cost has been driven lower through incentives such as rebates. This article by Sally C. Pipes and Wayne Winegarden showcases the intricacies of the increasingly concerning misguided financial goals of PBM organizations. Check out this article on Forbes to learn more about misaligned goals in the PBM space.
In the ever-evolving landscape of Pharmacy Benefit Management (PBM), understanding the financial intricacies is crucial for making informed decisions. A recent piece by SmithRx throws light on why clients operating under traditional PBM's pass-through models might be at a financial disadvantage. The article elucidates how hidden fees and lack of transparency can lead to significant financial losses for clients. This thorough examination by SmithRx is a must-read for anyone involved in the PBM space, offering a clearer picture of the financial dynamics at play. By highlighting the pitfalls of traditional pass-through models, it advocates for a more transparent, fair, and economically viable PBM landscape. Head over to SmithRx's blog to delve deeper into this critical issue and arm yourself with the knowledge to navigate the complex world of Pharmacy Benefit Management.
For years there has been much debate regarding service carve outs versus a fully integrated one stop offering. Recently, more organizations are moving to a diversified offering which is illuminating the importance of doing so to ensure insights into overall costs of healthcare. Illuma Advisors can help you dig deeper in to your offering to find if there are ways to improve. See below for a great article highlighting why it's important to evaluate how your partners are performing and if you should make adjustments.
