Managed Care Mag February 27, 2020
In 2020, eight companies in the National Drug Purchasing Coalition hope to change how PBMs do business.
For two years, payers of all sizes have been trying to make PBMs more accountable for their results and more transparent about their discounts, rebates, and other pricing tactics. The state Medicaid program in Ohio and the state employees in Connecticut and New Jersey, for example, have had some success by working more closely with PBMs.
Employers also are taking the collaborative approach. For the past year, a group of eight large employers has contracted with Express Scripts, now a division of Cigna, that required more transparency than is common in most PBM contracts and shifted more responsibility for cost control and patient...
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