Health-Care: Understanding Employers' Lack of Insight in Drug Benefits Management

Wednesday, 9 October 2024, 13:28

Health-care employers often remain unaware of how their drug benefits are managed, assuming that PBMs act in their best interest. However, these organizations have no legal obligation to do so, which can lead to significant issues. This article delves into the implications of this misconception and highlights the need for greater transparency.
Stltoday
Health-Care: Understanding Employers' Lack of Insight in Drug Benefits Management

Health-Care and Drug Benefit Management

Employers in the health-care sector frequently find themselves at a disadvantage. Pharmacy Benefit Managers (PBMs) typically manage drug benefits for employees, yet many employers have no clear understanding of this relationship. It's a common belief that PBMs serve employers’ interests, but they are not legally bound to prioritize these interests.

The Implications of Misunderstanding

Without adequate insight, employers risk overpaying for prescriptions and missing out on cost-effective alternatives. As health-care continues to evolve, employers must adapt by seeking transparency and fostering effective communication with PBMs.


This article was prepared using information from open sources in accordance with the principles of Ethical Policy. The editorial team is not responsible for absolute accuracy, as it relies on data from the sources referenced.


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