For decades, employers and health plans (Payers) have relied on benefit consultants and Pharmacy Benefit Managers (PBMs) to help them navigate one of the most complex and expensive components of healthcare: pharmacy benefits. These partners are entrusted with managing billions of dollars, influencing clinical decisions, and shaping member access to medications. Yet too often, employers and Payers are asked to operate on trust alone, without the transparency, data, or alignmen

Important numbers to know for the next 5 years. You’ve likely seen the advertisements for the cancer drugs Keytruda & Opdivo. Drugs like...

In the good ole’ days, every PBM used to release a trend report, which allows us, industry nerds, to understand historical trends and...

Want to improve your members’ health while improving our global health equity? Need to achieve these lofty goals while balancing a plan...

Prior Authorizations, you either love them or hate them.  Regardless of your personal feelings on them, prior authorizations have been a...

Doctors Without Borders caught my attention for a surprisingly new call to action. I, like many others, may have expected the storyline...