In this week’s podcast, Host Dorothy Cociu discusses medical plan cost containment and pharmacy benefit cost containment with Kyle Gerdts, VP of Sales & Account Management for Pinnacle Health Solutions and Don Anderson, VP of Pharmacy, Orion Rx. What works and what doesn’t? What are employers and brokers/consultants asking this year? We discuss the most effective ways to contain health plan costs with networks, referenced-based pricing, plan design and other solutions being used successfully today. We also talk about the ways to contain pharmacy program costs, including the use of step therapy, specialty drug management programs, and plan design. In addition, we dive into employer decision-making on GLP-1 drugs, as well PBM rebates and the upcoming implementation of CAA 2026 as it relates to PBMs and TPAs. Join us for this informative Podcast!
Show Notes