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 alignment necessary to...

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

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