Benefits consultants face significant challenges when managing pharmacy benefit spend for clients. The lengthy process of evaluating Pharmacy Benefit Management (PBM)...

In the ever-evolving healthcare landscape, benefits brokers, consultants, and TPAs face the daunting task of making critical decisions that impact the client's...

Drug discounts are reductions in the cost of prescription medications as negotiated by pharmaceutical manufacturers and Pharmacy Benefit Managers (PBMs). The PBM acts...

In the ever-evolving healthcare landscape, pharmacy benefits are crucial in ensuring affordable medication access for patients and plans. Pharmacy benefits contracts...

Drug shortages are at a ten-year high, challenging patients and healthcare providers. These shortages occur when the demand for a particular medication exceeds the...

Five Metrics to Evaluate Pharmacy Contract Performance Brokers can evaluate pharmacy contract performance by monitoring several key performance indicators (KPIs) and...

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...

NEW BLOG Navigating Challenges When Self-Insured Explore two challenges brokers face and how they can navigate them to help their self-insured clients make more...

NEW BLOG Drug Discounts: How They Affect Plan Sponsors Discounts usually depend on drug categorization and should reduce plan and participant spend. Discounts also...

NEW BLOG Including Market Check Provisions in Pharmacy Benefit Contracts In the ever-evolving healthcare landscape, an annual market check is a key provision brokers...

NEW BLOG Navigating Drug Shortages: How Employer-Sponsored Health Plans Support Participants How can plan sponsors help alleviate the impact of drug shortages and...

NEW BLOG 5 Key Metrics to Evaluate Pharmacy Contract Performance Brokers, learn how to determine if a contract is meeting your clients' needs and achieve cost savings....

NEW BLOG Drug Exclusions are Affecting Patients and Plans Drug exclusions and their financial and clinical outcomes for patients and plans should be essential when plan...

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...