HealthTrust’s Pharmacy Services Group offers advice around pharmacy benefit management programs
The concept of transparency is central to any discussion on contracting for a pharmacy benefit management (PBM) program. But what exactly does that mean?
Joseph M. Dizenhouse, FSA, MAAA, SVP, Pharmacy Services Group at HealthTrust, offers advice on PBM transparency in a blog recently published on the SHRM* Executive Network.
In the article, Dizenhouse demystifies four of the most pervasive misconceptions surrounding PBM deals:
- If I, as plan sponsor, receive full pass-through, my deal is transparent.
- I have a transparent deal, therefore my PBM will be incentivized to do the right thing.
- Transparent deals deliver more efficient plan utilization.
- Transparent deals lead to effective clinical management.
Dizenhouse also offers suggestions on what to consider when evaluating a PBM program. “Make sure to push aggressively for information, challenge the status quo and never simply rely on the front-facing elements of a PBM proposal,” he advises.
Read the full article.