Compensation reforms prohibit price- or rebate-linked PBM revenue in Part D, pushing flat service-fee models and broadly capturing affiliates such as rebate GPOs and aggregators. Reform priorities aim ...

Experts speaking during a recent PLANSPONSOR Roadmap session discussed how pharmacy benefit managers drive the cost of prescription drugs and what to watch for in contracts. Pharmacy benefit managers, ...

If there is one thing that leaders from both sides of the political aisle in Washington, DC can agree on, it’s that pharmacy benefit management (PBM) reform is needed – and needed now. In 2024, nine ...

This is the only game in town, this is the only vehicle for PBM reform,” State Rep. Hank Zuber stated while explaining the bill to the House. “The Senate, for whatever reason, does not have a bill.” ...

Vertical integration and limited PBM competition can distort formulary placement incentives, enabling rebate-driven list price inflation while obscuring true net costs from employers, pharmacies, and ...

PhRMA is again turning up the heat on both big insurance companies and their pharmacy benefit managers (PBMs) in a new ad highlighting middlemen that “own it all.” Healthcare consolidation—where big ...