April 28, 2021

Employers, payers seek transparent pharmacy benefit models

“You will absolutely see more movement to alternative models as the incumbent PBMs make the situation untenable,” said Elizabeth Mitchell, CEO of the Purchaser Business Group on Health, which helps around 40 private employers and public purchasers manage insurance benefits, noting the unyielding rise of specialty drug costs. “I think there are a lot of barriers for employers to switch, but increasingly, the emerging players are able to meet the needs of employers in the way the ‘Big Three’ don’t.”

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