Tag: drug benefits

Plan Controls Respond to PBM Spreads, Generic Cost Spikes

By Todd Leeuwenburgh Oct 17, 2014 Benefits and Compensation

Updated: Oct 17, 2014

If a pharmacy benefits manager promises a group health plan that there will be no administrative fee for drugs, it actually could be a red flag and not a cause for celebration. It could mean the PBM is “gaming the spread” or not passing rebates through to the plan. Plans can prevent this kind of […]

Health plans seeking the cost savings of generic drugs must still remain vigilant for overcharges

By Todd Leeuwenburgh Jan 25, 2012 Benefits and Compensation

Updated: Jan 25, 2012

The good news: Important drugs are going generic — a savings opportunity for employer-sponsored health plans, which should do what’s reasonable and what’s allowed to switch employees over to generics. The bad news: Health plans may still have to ensure they are getting the maximum cost savings. A case in point: Several health plans are […]