Practical insights for the people who sign the deals.
A weekly briefing on PBMs, contracts, employer health benefits, and the decisions that shape outcomes.
DOL Just Wrote The Safe Harbor Argument You Have Ten Days To Help Put It On The Record. Executive Brief A safe harbor is one of…
April Fools? Not If You Read the Fine Print. The Pranks PBMs Play And How to See Through Them Executive Brief April Fools Day traces back…
Found a Better Deal? Your Contract Says No. Why Your PBM Has No Obligation to Optimize. And Penalizes You for Trying. Executive Brief Here’s a sentence…
The Rebate Trap Your Money. Their Leverage. Executive Brief Here's a scenario playing out in conference rooms across the country right now. An employer discovers their…
The 2029 Myth CAA 2026 Compliance Starts Now, Not in Three Years Executive Brief "It Doesn't Kick In Until 2029." That's the most misconstrued deadline in…
The Audit Test The Simplest Way to Know If Your PBM Is Transparent Executive Brief Here's a question telling you everything you need to know about…
The Old Dog’s New Trick Why a well-built AI prompt does something no form letter ever could Executive Brief Last week I gave you a PDF.…
We Wrote the DOL Comment Letter So You Don't Have To Just Add Your Name The DOL proposed rule on PBM compensation disclosure is the first…
Show Me the Math What Your PBM Isn’t Showing You What would you do if you were told your PBM earned a 9% margin and researchers…
The Law Changed. The Game Hasn’t. Cigna’s CEO Told Wall Street PBM Reform Won’t Affect Profits Executive Brief On February 3, 2026, President Trump signed the…
