New AIS Report Reveals PBM Contracting Loopholes
Atlantic Information Services, Inc. (AIS) - November 15, 2016 - Washington, DC

Atlantic Information Services, Inc. (AIS) is pleased to announce the publication of 12 PBM Contracting Pitfalls Health Plans Should Avoid, the latest addition to its Management Insight Series. The report provides health plans and employers with a “checklist” of items to guard against when negotiating pharmacy arrangements, and also includes a comprehensive listing of PBMs and their insurer clients, plus a collection of articles about PBM contracting strategies. The report examines issues such as:

  • How PBMs’ indirect revenue streams work, and how PBMs are likely to make money off of a health plan contract vs. an employer contract.
  • The key loopholes consultants have found when negotiating new PBM agreements on behalf of their payer clients.
  • How to incorporate suitable audit rights into an agreement to ensure that the PBM is delivering on pricing and service levels in line with the contract terms.
  • How a well-crafted market check provision can help a PBM deal remain competitive over time.

For more information on 12 PBM Contracting Pitfalls Health Plans Should Avoid, including a full table of contents, visit

AIS’s Management Insight Series is designed to provide practical solutions to complex business challenges with the help of the industry’s most insightful advisors and managers. See a full list of titles in this series at

About AIS
Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for nearly 30 years. It develops highly targeted news, data and strategic information for managers in hospitals and health systems, health insurance companies, medical group practices, purchasers of health insurance, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, databases, websites, looseleafs, strategic reports, directories, webinars, virtual conferences and training programs. Learn more at

Jill Brown, Executive Editor
Atlantic Information Services, Inc.
202-775-9008 ext. 3058

It's quick and easy to sign up for FREE access to!

Why do I need to register?