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Category: PBM

Pharmacy benefit manager practices, contracting, economics, transparency, and strategies for improving pharmacy benefits.

Legal Doesn’t Mean Ethical

Legal Doesn’t Mean Ethical

December 1, 2025December 16, 2025 Steve Ditto

Legal Doesn’t Mean Ethical Fiduciaries Should Know the Difference Executive Brief Let’s say the quiet part out loud:Rebates take money from sick employees and help discount…

Post read time 6 min read
Whose Money Is It, Really?

Whose Money Is It, Really?

November 24, 2025December 16, 2025 Steve Ditto

Whose Money Is It, Really? The Rebate Dilemma Why fiduciaries must confront the conflict no one talks about Executive Brief It's Not About Percentages. It’s About…

Post read time 4 min read
The Rebate Trap

The Rebate Trap

November 17, 2025December 16, 2025 Steve Ditto

The Rebate Trap Why Employers Won’t Let Go And Why Fiduciaries May Not Have a Choice Much Longer Executive Brief Rebates have become the duct tape…

Post read time 5 min read
The PBM Breakup Letter

The PBM Breakup Letter

November 10, 2025December 2, 2025 Steve Ditto

The PBM Breakup Letter Employers Are Moving On Employers are finally deciding to end their toxic relationship with PBMs that overpromise and underdeliver. It's Not Us.…

Post read time 3 min read
$45 Billion Biosimilar Wake-Up Call

$45 Billion Biosimilar Wake-Up Call

October 20, 2025December 2, 2025 Steve Ditto

f you don’t control your biosimilar strategy, your PBM will — and you’ll still be paying brand-name prices for generic drugs.

Post read time 4 min read
Transparency, Tested

Transparency, Tested

October 6, 2025December 2, 2025 Steve Ditto

What Happens When “Transparent” PBMs Fail A Fiduciary Audit

Post read time 3 min read
Executives in the Dark

Executives in the Dark

September 29, 2025December 2, 2025 Steve Ditto

Executives in the Dark How to Get CEOs Asking the Right PBM Questions Executive Brief A Kaiser Family Foundation survey dropped a bombshell: "Employers Haven’t a…

Post read time 6 min read
No More Excuses: 10 Terms Every PBM Should Accept

No More Excuses: 10 Terms Every PBM Should Accept

September 22, 2025December 2, 2025 Steve Ditto

A Contract Compliance RFI helps test your PBM’s willingness to meet legal and fiduciary standards

Post read time 3 min read
PBM Reform Just Got Real

PBM Reform Just Got Real

September 15, 2025December 2, 2025 Steve Ditto

PBM Reform Just Got Real RFx Tools & Contracts You Can Use Executive Brief Employers are tired of PBM opacity. We've changed the game. Nautilus Health…

Post read time 2 min read
The Most Important Call Your CEO Hasn’t Taken Yet

The Most Important Call Your CEO Hasn’t Taken Yet

September 8, 2025December 2, 2025 Steve Ditto

The Most Important Call Your CEO Hasn’t Taken Yet Mark Cuban Is Ready to Dial In—Literally Executive Brief Why This Message Needs to Reach the C-Suite…

Post read time 5 min read

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