by Team PCM | May 24, 2022 | Blog Post, Contract Management
When evaluating a PBM contract at renewal or mid-term market check, brokers and plan sponsors should be asking questions. Questions that lead to a thorough understanding of their current PBM contract so they can negotiate better, plan-centric programs. Beyond basic...
by Team PCM | Mar 24, 2022 | Blog Post, Pharmacy Benefits
Americans spent $328 billion on prescription drugs in 2020, eight percent of total healthcare spend. The rising cost of medications is motivating employers, especially those who are self-funded, to invest in pharmacy savings programs. A popular type of pharmacy...
by Team PCM | Feb 24, 2022 | Blog Post, Pharmacy Benefits
Research on gene-therapies began in 1960 with the hypothesis that introducing DNA sequences into patients’ cells could cure genetic disorders. Decades of research have made these therapies a reality with current treatments for spinal muscular atrophy...
by Team PCM | Jan 18, 2022 | Blog Post, Pharmacy Benefits
High-cost prescription drugs have been wreaking havoc on pharmacy plan budgets for over a decade. However, did you know that drugs costs also affect medical plan costs? Drugs are billed in either the medical or pharmacy channel of a plan. Medications that the patient...
by Team PCM | Dec 16, 2021 | Blog Post, Data Analytics
This year saw a post-pandemic return to preventive care, the introduction of several biosimilars, and legislation governing healthcare transparency. However, stakeholders are still working to contain medical and pharmacy costs while providing high-level benefits to...
by Team PCM | Oct 25, 2021 | Blog Post, Data Analytics
As payors and stakeholders move to more plan-centric health benefits models, fragmentation significantly impedes program efficacy. Point programs added to fill gaps in coverage, and bolt-on solutions, used to supplement cost containment, contribute to a disjointed,...
