When high-deductible health plans (HDHPs) were introduced in the early 2000s, many expected a new era of healthcare consumerism. HDHPs were expected to foster improved…
Today’s pharmacy benefit landscape can feel like a minefield of complex contracts, performance promises, intricate plan designs, and endless benefit considerations. Employers must trust in…
What is the point of negotiating stringent contract terms and conditions if no one ensures the rules are followed? Strategic vendor oversight is the independent…
What is cystic fibrosis? People tend to consider cystic fibrosis (CF) a pediatric disease; however, it can also affect adults. CF is an autosomal recessive…
Implementation of best-in-class PBM contracting The negotiation process starts with the bid. A well-managed procurement sets the expectation that the bidding PBMs will adhere to…
Utilization management (UM) programs are a vital tool in the clinical and cost management of drugs. These programs are offered in various forms by most…
Implementations can drastically impact overall satisfaction with a pharmacy benefit manager (PBM). Here are focused insights on how satisfied plans were with their PBM implementations.
CVS Health (CVS) announced their 2022 formulary changes, both exclusions and additions, stating the focus of their formulary strategy continues to be “providing access to…