The 2023 growth may be small, but drug exclusion lists are still growing for the three largest pharmacy benefit managers (PBMs). Handling over 80% of all prescriptions...
Like the rest of American workers, pharmacy benefit brokers are burning out. Rising healthcare and drug costs, ever-changing policies, and transparency wars are adding...
Switching from an expensive brand-name medication to a lower-cost generic alternative is a proven savings strategy self-insured plan sponsors employ to reduce plan and...
The passage of the Inflation Reduction Act (IRA) in August 2022 will impact patients, providers, and benefit plan sponsors by disrupting drug pricing. The IRA allows...
Biosimilar drugs are “highly similar to” and have “no clinically meaningful differences” from existing FDA-approved biologics. Currently, there are 38 biosimilars on...
One in ten people in the United States has diabetes. $1 in $4 of US healthcare costs is spent caring for people with diabetes, resulting in a 26% increase in the cost...
Pharmacy costs get all the press for rising prices; however, brokers and plan sponsors need to consider medical pharmacy if they want a complete picture of plan spend....
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...
Americans spent $328 billion on prescription drugs in 2020, eight percent of total healthcare spend. The rising cost of medications is motivating employers, especially...
Prescription Care Management Introduces A New Tool That Promises To Deliver Healthcare Benefits To Employees While Providing Savings To Employers! Prescription drugs...
Utilization management is not a new concept; it has been used for years by the medical and pharmaceutical industries to help evaluate and monitor data related to...
If You are Tired of Constantly Second Guessing Your PBM, You Need an Rx for Prescription Care Management! The economic uncertainty has affected the healthcare industry...
If That's Your Case Then Prescription Care Management is Just What the Doctor Ordered! Many organizations offer strong benefit plans to employees to attract and retain...
NEW BLOG Benefit Broker Resolution: Avoid Burnout Rising healthcare and drug costs, ever-changing policies, and transparency wars are adding to the complexity of...
NEW BLOG Save by Switching High-Cost Generics to Low-Cost Alternatives Switching from an expensive brand-name medication to a lower-cost generic alternative is a proven...
NEW BLOG Navigating Gene Therapies Gene therapies are life-changing for patients. However, the price and complexity of balancing costs and patient outcomes are...
NEW BLOG Validating Your Pharmacy Savings Programs While drug substitutions have clear financial advantages, plan sponsors should vet third-party vendors to ensure they...
INTRODUCING A simplified RFP tool Market Check by PCM Dynamically reprice claims Compare multiple contracts See contract vs. market rates Build custom contracts See how...
NEW BLOG RFP Questions YouShould be Asking When evaluating a PBM contract at renewal or mid-term market check, brokers and plan sponsors should be asking questions....
NEW BLOG Medical Pharmacy Affects Plan Spend Pharmacy costs get all the press for rising prices; however, brokers and plan sponsors need to consider medical pharmacy if...
NEW BLOG Lowering Diabetes Medication Costs with Alternative Strategies Identifying and covering therapeutic alternatives to high-cost prescription drugs is key to a...
Are you ready for 2023? Whether you're renewing or shopping for pharmacy benefits in2023, PCM has the tools to help contain costs and reduce labor. Read more on our...