Rebate Guarantees: What Employers Should Demand

A drug with a higher rebate had a better chance of being favored over alternatives, even when the clinical profiles of the drugs were similar.

Reframing the Role of UM in PBM Strategy

Utilization management (UM) programs are often cast as the referees; enforcing rules, limiting waste, and protecting plan sponsors from runaway drug costs.

Ingredient Cost and Why it Matters

Understanding what ingredient cost actually represents and how it plays out across different segments of the industry is essential for any self funded employer trying to control rising pharmacy expenses.

The pharmacist beyond the counter

With logistics handled by machines, pharmacists are free to do what they were trained to do: counsel patients

Rise of Niche Benefits Vendors

A new generation of benefits vendors are making quiet, but meaningful, waves in a landscape dominated by legacy giants

From Off-the-Shelf to Customized

What It Really Means to Go Self-Funded. Reclaiming Agency, Redefining Risk, and Building a Benefits Ecosystem That Reflects You

Putting Member Experience First

Patients are no longer passive recipients of care. They’re savvy shoppers, digital natives, and vocal advocates

Beyond Borders, Beneath the Surface

The Rise of International Drug Sourcing in Pharmacy Benefits. Why Self-Funded Employers Must Rethink PBM Strategy as Global Sourcing Becomes the New Frontier