You probably have no idea who your pharmacy benefits manager (PBM) is. But you almost definitely have one. A pharmacy ...

Guidance, tips and best practices for benefits managers to reduce their benefit spend while producing competitive benefit packages for employees. With health care representing the biggest ...

In a July 2022 National Bureau of Economic Research working paper, The Value of Pharmacy Benefits Management, University of Chicago Economics Professor Cases Mulligan concluded that PBMs generate ...

insurer Blue Shield of California and drugmaker lobby PhRMA called for an end to the pharmacy benefit manager model during HLTH 2024, saying the middleman structure misaligns incentives and drives ...

Many states are working to tighten pharmacy benefit manager regulations and improve enforcement of laws that require insurers to cover mental health care about the same way they cover other forms ...

Recent scrutiny by Congress and other government agencies into pharmacy benefit management business practices has ignited discussions on how to address and eliminate apparent problematic behaviors.

Congress is facing pressure from outside groups to consider legislation to reform the pharmacy benefit manager (PBM) industry during the lame duck period. PBM reforms have bipartisan backing ...

The pharmacy benefit management (PBM) ecosystem is deeply broken. Not only does the current system lead to ultra-high pricing, particularly for specialty drugs, but it puts employees last, plain and ...