Practical insights for the people who sign the deals.
A weekly briefing on PBMs, contracts, employer health benefits, and the decisions that shape outcomes.
The Fiduciary’s Library. Issue #100 A free resource organized by the questions you’re asking. Executive Brief Welcome to Issue #100! One hundred weeks of contracts,…
Executive Brief Michael and Susan Dell just pledged $6.25 billion to fund investment accounts for 25 million American children. Each child receives about $250, a seed…
Executive Brief October 5 was a good day for transparency. Interagency coordination is real and visible. Four federal agencies announced coordinated rules tightening health plan disclosure…
Executive Brief Most plan sponsors believe they've satisfied CAA compensation disclosure requirements. They received a document from their benefits advisor. They filed it. They're missing fourteen…
Executive Brief Here's a question benefits advisors are not asking often enough: If your client gets sued over their PBM contract, what will discovery reveal about…
Executive Brief The contracts we review show clear signs of negotiation. Discount guarantees move. Rebate guarantees move. Dispensing fees, administrative fees, and performance guarantees move. Compare…
Executive Brief I spent Friday at a conference talking with PBMs. They’re still receiving RFPs for January 1 starts. Several said the same thing: to implement…
Executive Brief Most January 1 pharmacy contracts get signed in the next six weeks. The term will likely run three years. That's forty-two days of attention…
Executive Brief Something changed in the PBM market this year, and many plan sponsors haven't realized it yet. Ten PBMs have rewritten their standard contracts to…
Executive Brief A plan sponsor's leverage comes down to three things in sequence. You need your data. You need to be able to verify it. And…
