Pharmacy Benefit Management

DRUG SPEND MANAGEMENT

PBM My State Slashed Public Employee Insurance Painlessly. So can West Virginia.

PBM Consolidated Appropriations Act, what employers need to know now

The Consolidated Appropriations Act, 2021 (CAA) is designed to increase transparency in employee health benefit plans.  As fiduciaries of the benefit plan, Government agencies like the Department of Labor, the Department of Health and Human Services, and the Treasury will hold employers responsible and accountable for the CAA. What does this mean for employers and how should CEOs meet their fiduciary obligation to their employees/plan members?

PBM Are You Prepared to Swear? New Health Benefits Attestation and Reporting Requirements

By the end of this year, employers must attest to the Department of Labor that they have received a full and complete disclosure of compensation from their plan service providers (broker, TPA, PBM, etc). Failure to get your hands on this information means that you will not qualify for ERISA’s prohibited transaction exemption. Transparency will not benefit everyone, but it is going to be great for employers and employees.

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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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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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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