Pharmacy Benefit Management

Why Carve-Outs Happen And How To Prevent Them

See this article by AlignRx CEO Kevin Kobielski as it originally ran in Healthcare Business Today.  Carve-outs can be a thorn in the side of health plans. But with a little creative thinking in key areas, insurers can solve the problems that cause employer groups to rely on carve-outs.  For employers, the appeal of carve-outs …

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5 Must-ask Questions Before the PBM RFP Process

Read the full article by AlignRx COO Greg Sanderson on Employee Benefit News.  While it may seem early to be thinking about 2023, summer is prime time for issuing pharmacy benefit manager RFPs. In a healthcare environment where an annual cost increase is expected both by employer groups and employees, finding the right PBM relationship …

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How Specialty Drug ‘Solution Stacking’ Can Rein in Pharmacy Benefit Costs

Brokers and employer groups alike know that 5% to 10% percent of insured workers and their dependents drive 50% to 60% of the cost of pharmacy claims. A few members with prescriptions for a specialty drug with a five-figure price tag can easily represent the majority of an entire group’s pharmacy spend. These drugs are …

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