PHARMACEUTICAL CLAIMS ANALYTICS
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In this series of articles, Milliman consultants explore a range of issues relating to PBM best practices.
Is your PBM delivering ROI? Learn how to improve your RFP and contracting processes to get more value from the relationship.
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.
Effective PBM contracting can have a significant impact on the cost of prescription-drug benefits.
This paper looks at the pharmacy benefit manager (PBM) implementation process and identifies key items to consider for a successful PBM implementation, including pre- and post-implementation activities.
Prescription drug costs have increased dramatically in recent years with double-digit average wholesale price (AWP) inflation trends becoming common.