Panelists Detail How Employers Can Demand More From PBM Contracts
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Mar 13, 2025
There is a widening gap between employers’ pharmacy benefit goals and what they are getting from PBMs, according to the panelists of a March 11 webinar presented by the National Alliance of Healthcare Purchaser Coalitions.
Vertical integration of PBMs with insurers, mail-order pharmacies, retail pharmacies and more was intended to allow PBMs to have greater negotiating leverage to deliver better prices, said Kimberly Westrich, chief strategy officer of the National Pharmaceutical Council. “But when you look at the data…that’s not actually what’s happening,” she said. Spread pricing, inflated savings, self-preferencing and other practices “are not in alignment with employers optimizing the value of their health care dollar,” she added.
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