AH024 - PBMs in the News, Again, with Ryan Duffy and Josh Golden

We dedicated this episode of Astonishing Healthcare to discussing the ongoing challenges within the pharmacy benefit management (PBM) industry, as unveiled by a recent front-page New York Times article (www.nytimes.com/2024/06/21/bu...) (subscription required). Capital Rx Senior Vice Presidents Josh Golden and Ryan Duffy join host Justin Venneri to share their reactions to the article and opinions about where the spotlight should be at this time. The article brings several issues to the forefront, including new "layers" of profit opportunity for traditional PBMs, which come at the expense of health plans/payers.
Ryan and Josh also stress the importance of PBM transparency and alignment with plan sponsors' (and members') interests. They also explain why HR leaders and benefits administrators must be vigilant and prepared for a shift toward more accountable PBM models. Potential regulatory reforms and their implications are also examined, providing insights into how to navigate and optimize pharmacy benefit management in today's complex healthcare landscape.
Related Content
• AH015 - PBM Legislation, Contracting, and More, with Lloyd Fiorini (www.cap-rx.com/insights/ah015...)
• 5 ways to improve your PBM procurement process in 2024 (www.cap-rx.com/insights/5-way...)
• Your PBM is the Problem (www.cap-rx.com/insights/your-...)
• Capital Rx CEO: PBM industry needs to be repaired, not ditched (www.cap-rx.com/insights/capit...)
Please visit Capital Rx Insights (www.cap-rx.com/insights) for more information, including this episode's transcript!