Provides health plans and employers with a “checklist” of items to guard against when negotiating pharmacy arrangements. Also includes a comprehensive listing of PBMs and their insurer clients, plus a collection of articles about PBM contracting strategies.
12 PBM Contracting Pitfalls Health Plans Should Avoid examines the loopholes some PBMs build into contracting language with health plans — and how to avoid them. From tightening up pricing logic and contractual definitions to building in suitable audit rights and market checks, the report provides a “checklist” of items to guard against when negotiating pharmacy arrangements.
Health plans and employers will get reliable, strategic answers to big-dollar questions surrounding:
12 PBM Contracting Pitfalls Health Plans Should Avoid also includes a comprehensive listing of more than 60 PBMs and their 2016 insurer clients, from AIS’s Directory of Health Plans, and a collection of articles about PBM contracting strategies, from AIS’s Drug Benefit News.
Order 12 PBM Contracting Pitfalls Health Plans Should Avoid today and find out how to identify the most common contracting mistakes plan sponsors and health plans make when negotiating a service agreement with their PBM. Your order includes a PDF version available immediately and a print version mailed to you within 5-7 business days.
The PBM Contracting Process
Question and Answer Session
Appendix A: Pharmacy Benefit Managers’ Insurer Clients
Appendix B: AIS Coverage of PBM Developments
This report was adapted from a June 2016 AIS webinar presented by Helen Sherman, vice president, and Josh Golden, an area senior vice president, at Solid Benefit Guidance. It has been updated to include relevant background coverage of industry developments and other resources that give insight into the evolving world of PBM contracting.
Pharmacy, clinical services and medical directors; human resources executives; strategic planners; product development, contracting and marketing executives; and financial and operations executives at
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