Replay: PBM Procurement Decoded: Insights from a Pharmacist and an Actuary

Plan sponsors know full well that costs are skyrocketing year over year, and the traditional pharmacy benefit management (PBM) model – which contributes to those rising costs through opaque pricing, rebate-driven incentives, and patient steering – is hindering more than helping. Is an aligned pharmacy benefits approach even possible these days?

On June 12, Kristin Begley, PharmD (Chief Commercial Officer) and Mike Miele, FSA, MAAA (SVP, Insured Services), hosted a webinar breaking down the ways plan sponsors can decode the PBM procurement process, cut costs, and deliver optimal health outcomes for members.

Check out the replay and the highlights below and click here for the slides!

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Highlights

• Understanding PBM Procurement Challenges (6:00)
• How PBMs Formed into a "Toxic Amoeba" (8:47)
• Evaluating Drug Mix and Formulary Impact (13:13)
• Drug Mix, Refill Logic, and Their Affects on Cost (17:22)
• Where Does Capital Rx's Saving's Come From? (29:39)

Related Content

• Why Savings Don't Materialize: The Truth About Pharmacy Benefit Procurement eBook
• Why this benefit leader switched to a more modern, transparent PBM ‍
• 5 ways to improve PBM procurement for clients ‍
• Signs it is time to change your PBM vendor, and how to overcome common hesitations

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Get in touch with our team today if you’d like to learn more about our financially aligned, member-centric approach to health benefits!