One of the most important ways plan sponsors can lower healthcare costs without significantly changing their benefits is to look for opportunities to improve their pharmacy benefit manager (PBM) contract. This paper explores a few important PBM contract strategies that can be used to reduce costs and quickly evaluate if a current or new PBM contract is effectively managed.
Insight
Regenerative and targeted therapies increase the need to accurately identify rare diseases, and increased specificity in diagnosis codes of the ICD-10 could help