Onboard navigation: Successfully steering a PBM relationship

Thomas, Tim
November 2007
Employee Benefit News;Nov2007, Vol. 21 Issue 14, p11
The article looks at specialty pharmacy as an aspect in creating and maintaining a transparent, cost-effective relationship with a primary benefit manager (PBM). It mentions that specialty pharmacy costs may be hidden in medical benefits because they are administered in a physician's office or hospital/clinic. It says that physicians can also be influenced by pharmaceutical company representatives on how and when to use specialty products. It advises employers to bring knowledge about specialty drugs and their pricing to PBM negotiations.


Related Articles

  • Employers, pharmacists push for PBM transparency. Anderson, Tom // Employee Benefit News;Aug2004, Vol. 18 Issue 10, p11 

    Reports on the concerns of employers and pharmacists regarding the business practices of pharmacy benefit managers (PBM). Background on an investigation into the practices of Caremark Inc.; Role of PBM in lowering drug prices; Impact of rebates and discounts received by PBM from drug companies...

  • Valuing Physicians. Hawthorne, Gordon W. // Physician Executive;Jan/Feb2002, Vol. 28 Issue 1, p87 

    Investigates strategies in developing performance-based reward strategies for physician executives, based on the results of a survey on physician executive compensation in the U.S. in 2001. Reward strategy recognizing a physician's value; Base compensation as the primary element of a...

  • In Brief.  // Canadian Benefits & Compensation Digest;Aug2010, Vol. 28 Issue 4, p13 

    The article presents news briefs related to benefits and compensation in Canada. Among the strategies for managing longevity risks available to sponsors are purchasing annuities, using mortality tables suited to plan members' demographics and modifying joint and survivor benefits. By 2015,...

  • THAT LITTLE BIT EXTRA. Worth, Joe // Entrepreneur;Jan2016, Vol. 44 Issue 1, p64 

    The article provides an answer to a question of what is the most cost-effective employee benefits to implement.

  • Staying the Treatment Course. Stolz, Richard // Employee Benefit News;May2006, Vol. 20 Issue 6, Special section p2 

    Looks at how pharmacy benefit managers in the U.S. are helping employers stick to their strategic vision for controlling expenses and improving health outcomes. Increase in the overall drug costs in 2006; Drug cost issues that employers are beginning to face; Tools which equip employees to be...

  • Wheeling and Dealing. BRIDGEFORD, LYDELL C. // Employee Benefit News;Feb2010, Vol. 24 Issue 2, p20 

    The article describes how pharmacy benefit managers (PBMs) are responding to employers who turn to them in order to save costs on employees' pharmacy benefits. It says that PBMs are now moving toward more utilization-management tools and have created more programs that help members adhere to and...

  • Determining Physician Compensation--Part II. Tarantino, David P. // Physician Executive;May/Jun2002, Vol. 28 Issue 3, p52 

    Part II. Comments on the determination of physician compensation. Division of bonus money among physicians by using analytic hierarchy processing; Step of the using the incentives model with base pay; Illustration of the determine incentive pool distribution.

  • CQO Role Offers Broad Leadership Challenges. Ransom, Scott // Physician Executive;Jul/Aug2003, Vol. 29 Issue 4, p65 

    Some assume that leadership is exclusively the job of the chief executive officer, the individual at the top of the organization. Of course, that's not true, leadership is a vital component for many other senior clinical and management roles. Without strong leaders in finance and information...

  • Why this man wants to dock GP income. Griffiths, Julie // GP: General Practitioner;4/13/2007, p14 

    The article focuses on the reactions of general practitioners (GPs) in Great Britain towards the suggestion of Alan Maynard, professor of health economics at York University, that demerit awards could be more effective at improving GP performance than bonuses. GPs have reacted angrily to a...


Read the Article


Sorry, but this item is not currently available from your library.

Try another library?
Sign out of this library

Other Topics