The Cost-Plus Model in Pharmacy Benefits: Advantages and Disadvantages July 2026 As the healthcare industry faces increasing scrutiny over drug pricing, the cost-plus model in pharmacy benefits has emerged as a potentially more transparent and consumer-friendly...
Appropriate Coverage of Specialty Drugs in Healthcare: Balancing Innovation, Access, and Affordability May 2026 Specialty drugs represent some of the most significant advances in modern medicine. Offering life-changing or even life-saving treatments for complex,...
The Role of Consultants in Supporting Self-Funded March 2026 Pharmacy Benefits: Maximizing Value, Controlling Costs As healthcare costs continue to climb, more employers are turning to self-funded pharmacy benefit plans as a way to take greater control over their...
Should I Replace My Pharmacy Benefit Manager (PBM)? January 2026 Managing pharmacy benefits is one of the most complex and expensive parts of running a healthcare plan. Pharmacy Benefit Managers (PBMs) are supposed to control drug costs, manage pharmacy claims, and...
Is Your PBM’s Transparency Just Marketing? October 2025Pharmacy benefit managers love to talk about transparency. You’ve heard the pitch- “We’re pass-through,” “we’re aligned with your goals,” or “we operate with full transparency.” But when you look at the numbers,...
Is Auditing My Pharmacy Benefit Manager (PBM) an Advantage or Disadvantage? September 2025Pharmacy Benefit Managers (PBMs) sit at the center of the prescription drug supply chain. They negotiate with manufacturers, manage pharmacy networks, and promise to help plan...
