The following is the second piece in a two-part series written by industry expert Peter Rousmaniere on Pharmacy Benefit Management (PBMs). Part one is available here.
The conventional method of compensating the PBM by claims payers in workers’ compensation involves a method that is severely short on transparency. As the first part of this column describes, the claims payer has no way of knowing how much profit the PBM makes, and is forced to rely on a pricing benchmark — ...
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