By Rodney Mattos Sr. June 17, 2025
Healthcare costs are a growing concern for employers and employees alike. When pharmaceutical prices spike, the blame often falls on pharmaceutical companies or regulatory frameworks. However, there’s another key player in the healthcare equation that often goes unnoticed: Pharmacy Benefit Managers (PBMs). Their role in negotiating rebates makes them both influential and controversial players in determining what patients ultimately pay for their medications.  PBMs are tasked with managing billions of dollars in drug spending, yet their practices often lack transparency. This raises an important question: are PBMs cost-cutting heroes or costly middlemen? Their influence on the healthcare landscape, particularly through rebate strategies, warrants closer examination. Let’s dive deeper into the world of PBM rebates and uncover their true impact on patients, pharmacies, and employers.
By Rodney W. Mattos June 17, 2025
As an HR professional in today’s business environment, you’re acutely aware of the skyrocketing healthcare costs that are impacting your company's bottom line and the well-being of your employees. Many grapple with the complexities of self-funding, fully insured plans, claims, renewal increases, transparency issues, Medicare cuts, prescription drug costs, and the effective strategies needed for cost containment. This guide dives deep into these topics, offering insights and practical advice on managing healthcare costs effectively.
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