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Articles

Securing The Lowest Net Cost PBM Contract

The Consolidated Appropriations Act (CAA) effective December 27, 2021, adds multiple requirements on ERISA and PHSA health plan sponsors that cannot be ignored. A key defense to scrutiny from the U.S. Department of Labor is demonstration that service providers and plan professionals’ evaluation and contracting was performed using objective strategies in the interest of plan members. 

Written By:
Scott Haas
Terrance Killilea, Pharm.D.
USI Insurance Services 

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Webinars

How Employers Transform Pharmacy Benefits: Understanding the Continuum toward Alignment between plan sponsors, members, and PBMs to achieve Maximum Savings

The rising costs of drugs, and the system in which pharmacy benefits have traditionally been paid, has led many employers on a journey to reexamine the model they’re in as they realize the spend and outcomes they’re receiving are not a good value for the dollars they are paying.

Speakers: Lee Lewis, Chief Strategy Officer and General Manager of Medical Solutions, Health Transformation Alliance (HTA)Thom Stambaugh, Chief Pharmacy Officer, FliptScott Brewster, EVP Sales and Marketing, 90 Degree Benefits

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Buyer's Guides

Employer’s Guide to Drug Spend Management

Download the drug spend management guide to develop a better understanding of the four key considerations for an effective pharmacy benefit management and administration strategy.

Get The Drug Spend Management Guide

Online Courses

Optimizing Drug Spend

Explore the dynamics behind the prescription drug market, and learn how to navigate the market forces at play to design a cost-effective drug plan

Instructor

Kristin Begley

61 minutes

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The move toward high-performance and high-value healthcare

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In-depth analysis of the latest trends and solutions that improve heath outcomes, strengthen accountability, and cut costs

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Actionable insights on how to drive better health outcomes at a far lower cost for your organization.

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Sign up for ValidPoints, the complimentary monthly newsletter that offers the latest updates on:

A red line drawing of an archery target with an arrow in the center bullseye, symbolizing precision, goal achievement, and success.

The move toward high-performance and high-value healthcare

Icon depicting customer support and care with a stylized human figure embraced by a hand, set against a segmented circular backdrop.

In-depth analysis of the latest trends and solutions that improve heath outcomes, strengthen accountability, and cut costs

Icon of a seal with a checkmark, representing verified completion or approval, with a radiating effect, in red outline on a light background.

Actionable insights on how to drive better health outcomes at a far lower cost for your organization.

Icon of a badge with ribbons and a check mark, symbolizing achievement, accreditation, or quality assurance in a red outline.

Profiles in innovative solutions and organizations that are “walking the walk” when it comes to delivering better savings, outcomes, and more

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