Politico October 13, 2021
A TECH TWIST ON DRUG BENEFITS: Can a group of health tech startups disrupt the world of pharmacy benefit managers and seize part of a market forecast to be worth as much as $700 billion by the middle of the decade?
Companies such as Capital Rx, WithMe Health and Navitus see an opening, and are using high tech dashboards and data mining in a bid to supplant industry giants, who now manage drug benefits for health insurers, employers and other payers.
These challengers hope to capitalize on the growing scrutiny of PBMs’ role in health spending — especially the practice of “spread pricing,” in which companies charge payers more than they reimburse pharmacies for certain drugs, and pocket the difference....
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