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Check out our next episode - let's talk about the best way to competitively contract for your PBM!

In this episode of Wiley’s Health Care Contracting Chronicles, hosts Jordan A. Ross and Brooke M. DeLoatch share how Wiley’s innovative Pharmacy Benefit Managers (PBM) contracting process helps health plans achieve better pricing, transparency, and efficiency. They outline the five key stages of the Wiley Competitive Contracting process, explain why early legal involvement is a game-changer, and discuss how this method drives meaningful negotiations. Tune in for actionable insights into mastering PBM contracts in a rapidly evolving marketplace. https://lnkd.in/ez7FZwuZ #PBM #PBMContracting #Healthcare

One misconception about GPO's is that they’re only for large healthcare providers. The truth is that providers of all sizes can benefit from the collective buying power and cost savings offered by a GPO like INJX. Join today and see the results for yourself! To learn more, visit our website: injxgpo.com. #INJX #GPO #PainManagement

Yesterday marked the conclusion of the National Alliance of Healthcare Purchaser Coalitions Annual Forum. AEHC members and staff walked away with an arsenal of knowledge and actionable insights: from fiduciary responsibilities to tackling the complexities of pharmacy benefits, it was a day filled with impactful sessions and discussions that empower employers to lead change in healthcare. Highlights from the day included: ✔️ Fiduciary Training Workshop: Attendees gained critical insights on operationalizing fiduciary duties under the Consolidated Appropriations Act, learning how data, transparency, and proactive measures can protect against litigation and ensure value-driven healthcare plans. ✔️ PBM Hub- Employer Strategies to Break the Monopolies: This exclusive session tackled the misalignment and consolidation plaguing the PBM industry. Employers explored strategies for greater transparency, contract negotiation, and value-based care, all aimed at driving down drug costs. These discussions reminded us of the power employers hold to reshape healthcare markets. We’re bringing this knowledge back to Alabama to drive transparency, better outcomes, and affordable care for all. #JoinAEHC2024 #NatAllForum #PBMStrategies #EmployerLeadership #HealthcareInnovation #FiduciaryResponsibilities

The 8/5 Healthcare Labyrinth Newsfeed is live. Click below to read. Major stories: -- WSJ analysis hit MA overpayments again -- MA PA analyzed -- Where candidates stand on healthcare -- Retail healthcare still moving -- Biosimilar promotion urged -- Drug trends in commercial world projected -- ACA premium hikes #healthcare #healthcarereform #healthinsurance The Healthcare Labyrinth Marc S. Ryan 🇺🇦

“The industry can expect the cracks in the Big Three PBM model to widen, leaving little room for these entities to hide—and plenty of space for newer, more affordable models to reimagine pharmacy care.” Matthew Gibbs, Chief Pharmacy Officer at Blue Shield of California, shares insights on the increasing pressure facing traditional PBMs and what to expect in the year ahead. With the first wave of Medicare-negotiated prices expected to take effect on January 1, 2026, Matt writes that 2025 is a year of opportunity for PBMs to adapt. He calls for transformation that will drive transparency, affordability, and trust in the pharmacy supply chain. Read his full perspective in Fierce Healthcare: https://lnkd.in/eDbWNyvM

UnitedHealth Group's recent commitment to pass 100% of pharmacy benefit manager (PBM) rebates to clients by 2028 marks a significant shift in the healthcare industry. CEO Andrew Witty emphasized that this move aims to enhance transparency and directly benefit consumers, addressing criticisms that PBMs contribute to high drug costs.  MANAGED HEALTHCARE EXECUTIVE This decision not only positions UnitedHealth as a leader in promoting cost transparency but also challenges other major PBMs to adopt similar practices. As the industry evolves, stakeholders must stay informed about these developments to understand their potential impact on healthcare costs and patient care. #HealthcareIndustry #PharmacyBenefitManagers #DrugRebates #UnitedHealthGroup #AndrewWitty #TransparencyInHealthcare

📢 Excited to share that I had the opportunity to assist in writing an article featured in the Great Lakes Integrated Network IPA (GLIN IPA) Pharmacy Factor's November 2024 issue! The piece, titled "2025 Medicare Part D Updates for Health Care Providers," delves into the impactful changes coming to Medicare Part D, including: ✅ Elimination of the coverage gap ✅ Introduction of a $2,000 out-of-pocket spending cap ✅ New Manufacturer Discount Program and enhanced cost-sharing models These updates are set to make medications more affordable, improve access for seniors, and transform the healthcare landscape for both patients and providers. Check out the article for more details on how these changes may shape clinical practice and patient outcomes in the year ahead. 🌟 #Pharmacy #MedicarePartD #HealthcareInnovation #PatientCare #PharmacistLeadership

🌟 Big Changes Ahead in PBM: What Does It Mean for Healthcare? 🌟 With recent PBM reform making headlines, the conversation around transparency, fair pricing, and patient-centered care is louder than ever. At Wellyfe, we’re thrilled to see the spotlight on this long-needed shift—because we believe it’s time for a new era in pharmacy benefit management! Our approach at Wellyfe is simple: We’re empowering healthcare organizations to take control with in-house PBM models that prioritize: ✅ Transparency and cost-effectiveness ✅ Customized pharmacy solutions ✅ Direct savings that benefit both patients and providers In a system often criticized for its complexity and lack of transparency, Wellyfe’s approach to PBM is clear and patient-focused. We’re helping organizations like FQHCs and health systems improve access, streamline operations, and build a stronger connection between pharmacy and patient care. 🚀 How do you feel about the future of PBM? Join the conversation! Comment below with your thoughts or reach out to learn how Wellyfe is paving the way for a more transparent and impactful pharmacy experience. #PBMReform #PharmacyCare #HealthcareInnovation #PatientFirst #PharmacyTransparency #Wellyfe #HealthcareTransformation #HealthcareNews