HealthLeaders Media July 25, 2024
Sandra Clarke

Prescription drug rebates were once a good idea. Not any more.

KEY TAKEAWAYS

– Traditionally, pharmacy benefit managers (PBMs) quietly negotiate drug prices with drug managers, including a rebate amount paid by the manufacturer to the PBM.

– Instead of lowering drug costs, these rebates now often result in the use of higher-cost drugs with higher out-of-pocket costs for members.

– The healthcare industry should move away from rebates and examine alternatives to compensating drug manufactuers.

Editor’s Note: Sandra Clarke is the EVP and Chief Operating Officer of Blue Shield of California.

What happens when you squeeze a balloon? While the air inside shifts away from where you put pressure, the total air volume is still trapped inside. Prescription drug...

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