TransparentRx’s Post

Navigating the complexities of PBM contracting doesn’t have to be a black box. 🛠️ TransparentRx's insights shed light on the importance of transparency and fiduciary responsibility in PBM agreements. By aligning PBM incentives with client interests, organizations can achieve significant cost savings while ensuring high-quality patient care. Embracing a fiduciary model not only enhances trust but also delivers tangible benefits to both employers and employees. #PharmacyBenefits #PBMContracts #FiduciaryResponsibility #EmployeeBenefits #PBIA #CPBS #TransparentRx

Navigating the complexities of PBM contracting doesn’t have to be a black box. 🛠️ TransparentRx's insights shed light on the importance of transparency and fiduciary responsibility in PBM agreements. By aligning PBM incentives with client interests, organizations can achieve significant cost savings while ensuring high-quality patient care. Embracing a fiduciary model not only enhances trust but also delivers tangible benefits to both employers and employees. #PharmacyBenefits #PBMContracts #FiduciaryResponsibility #EmployeeBenefits #PBIA #CPBS #TransparentRx

Navigating the complexities of PBM contracting doesn’t have to be a black box. 🛠️ TransparentRx's insights shed light on the importance of transparency and fiduciary responsibility in PBM agreements. By aligning PBM incentives with client interests, organizations can achieve significant cost savings while ensuring high-quality patient care. Embracing a fiduciary model not only enhances trust but also delivers tangible benefits to both employers and employees. #PharmacyBenefits #PBMContracts #FiduciaryResponsibility #EmployeeBenefits #PBIA #CPBS #TransparentRx

Employers are under constant pressure to manage their benefit plans effectively—especially when it comes to pharmacy benefits. No doubt you've seen how easily drug costs can spiral out of control when not carefully managed. We understand how crucial it is for employers to partner with the right pharmacy benefit managers. The right PBM helps to make sure members receive the medications they need at a fair cost. For brokers and employers, selecting a PBM that emphasizes transparency, cost-saving strategies, and continuous oversight can make a significant difference in lowering expenses and maintaining member satisfaction. Our colleague, Jennifer Herman, explores the essential role PBMs play in drug pricing and offers guidance on what to look for when choosing a PBM. By focusing on these key factors, employers can help keep costs down, reduce the risk of financial missteps, and meet their fiduciary duties to plan members. Click through to read Jennifer's post, and connect with us to learn more. #EmployeeBenefits #PharmacyBenefits #HealthcareCosts #PBM #BenefitsAdministration #CostManagement #Employers #Brokers

In today’s healthcare landscape, financial challenges are mounting for employers, providers, and patients alike. All while health insurers and PBMs are reaping substantial financial gains. As intermediaries, PBMs have grown into powerful monopolies, extracting profits from every possible avenue. Fortunately, ongoing bipartisan efforts in Congress are underway to address these issues. These reforms will profoundly impact how PBMs operate. 🗣 Want to hear more? Check out the full article on the Looming PBM Reform: https://lnkd.in/ebtaJSha #PBM #PBMReform #Congress #Bipartisan #Octane

🇺🇲 The U.S. healthcare system is a complex network of public and private entities. It is a fertile ground for innovative medical technologies but navigating its intricacies can be daunting. Central to the public side of this system are Medicare and Medicaid. These are federal and state programs respectively, that provide healthcare coverage to a wide range of Americans. On the flip side, commercial payers, which encompass a vast array of private insurance companies, offer coverage that varies widely in scope and scale. Understanding how each of these entities evaluates and funds new technologies is crucial for innovators looking to make an impact in healthcare. 🏥 For medical technology innovators aiming to penetrate the U.S. healthcare market, understanding these pathways is just the beginning. Success requires strategic navigation of the regulatory landscape, effective communication of value, and thorough market analysis. That’s where ValueConnected comes in. With a track record of successful projects in the U.S., we offer deep insights into Go-To-Market strategies and strategic analyses tailored to the challenges and opportunities of the U.S. healthcare system. Schedule a meeting with our CEO and Founder Ernesto M. Nogueira today: 🌐 https://lnkd.in/eeiHmvja #US #HealthCare #MediCare #Medicaid #MedTech

What makes Never Move Again™ different from other #PharmacyBenefitAdministration solutions? "Thank you!" to Denise Myshko for taking the time to speak with A. J. Loiacono and asking great questions about our new offering! AJ explained, "Whether [plan sponsors] want to switch rebate partners, add new mail facilities, or introduce direct-to-consumer drug programs, we can provide a way to do this without the need for full implementation changes." Put simply, large employers can have confidence that their plan members will receive amazing service and know that they havie full access to the data (all of it!), an ERISA-compliant framework, and the flexibility to use any fulfillment or clinical service... thus the name: you'll never have to move again. 😉 Regardless of whether you need a full-service solution or want to explore "unbundling" the pieces, we're here to help. Check out the article in Managed Healthcare Executive to learn more about Never Move Again™! #PBA #PBM #healthtechinnovation https://okt.to/s7WP4S

Helping Employers Navigate the Rise in High-Cost Medical Claims Here’s a fascinating article on how companies around the world can battle rising healthcare costs. The title caught my eye as that’s what we do here at Equinox. It makes solid points on things I’ve discussed here in the past, not the least of which is that the cost of everything is going up. Combine that simple fact with unhealthy lifestyle choices and rising cancer rates, and this is a storm your company cannot face alone.   Solutions are complex, but where to start? The article points out that high-cost claimants make up a relatively small percentage of a company's population yet tend to represent the largest expense to a company’s benefit program. It’s here where efforts can be focused for better employee outcomes and lower company expenses. It’s no surprise that prevention can be an effective tool. As it states: “…prevention is an important mitigation strategy that is often underutilized. Employers should create care management programs that encourage employees to undergo health screenings and follow healthier lifestyles.”   There is hope in the midst of this mayhem. But you need experts alongside you. Does your company have a source for strategic and tactical benefit management? If not, let's chat.   #inflation #benefitsconsulting #prevention https://lnkd.in/g_XNmNQH

Join us on October 10, 2024, for a webinar featuring two leading experts on Pharmacy Benefits Management, discussing how employers, plan sponsors, and benefits advisors can navigate the new PBM landscape. Save your spot now! https://lnkd.in/gzHRdZc8 #PharmacyBenefits #PBM #Compliance #Employers #BenefitsAdvisors #Webinar