MedCity News December 10, 2025
Mark Cuban warned that many employers are collecting drug rebate money funded by their sick employees — a practice that can violate fiduciary duties under ERISA. His company, Cost Plus Drugs, is partnering with organizations like Humana’s CenterWell to create direct-to-employer programs that bypass PBMs and deliver medications at lower net prices.
Many employers are unknowingly collecting drug rebate money that is funded by their sickest workers, according to Mark Cuban.
During Forbes’ Healthcare Summit last week in New York City, Cuban noted that Americans are often paying full list prices during their deductible periods, effectively subsidizing the rebates that flow back to pharmacy benefit managers and employers. This is a dynamic he argues most CEOs don’t fully understand.
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