The Rise of Pass-Through Transparent PBMs: Transparency and Savings in Healthcare

Pharmacy Benefit Managers (PBMs) have long been a key player in the healthcare industry, working with health plans, employers, and pharmacies to manage prescription drug benefits. However, the traditional PBM model has been criticized for a lack of transparency, with many PBMs accused of engaging in practices that drive up costs for consumers. In response, a new type of PBM has emerged: the pass-through transparent PBM.

Pass-through transparent PBMs are designed to be more transparent and cost-effective than traditional PBMs. These PBMs pass on the savings they negotiate with drug manufacturers and pharmacies to their clients, rather than keeping a portion of the savings for themselves. They also provide their clients with full transparency into drug pricing and rebate information, allowing them to make more informed decisions about their prescription drug benefits.

One company that is leading the way in the pass-through transparent PBM space is MedOne. MedOne is a pass-through transparent PBM that offers a range of services designed to help employers and other organizations manage their prescription drug benefits more effectively. The company's approach is based on transparency, with a focus on passing on savings and providing full disclosure of pricing and rebate information.

According to a study by the National Bureau of Economic Research, pass-through PBMs are becoming more popular among employers and other organizations. The study found that the number of employers using pass-through PBMs increased from 11% in 2016 to 20% in 2018. Additionally, a survey by the Pharmacy Benefit Management Institute found that employers who switched to a pass-through PBM model reported greater satisfaction with their PBM and saw significant reductions in their prescription drug costs.

Pass-through transparent PBMs are an important development in the healthcare industry, as they provide greater transparency and cost-effectiveness for consumers. By passing on savings and providing full transparency into drug pricing and rebate information, these PBMs are helping employers and other organizations manage their prescription drug benefits more effectively and improve the health outcomes of their employees.

In conclusion, pass-through transparent PBMs are becoming increasingly important in the healthcare industry, as they provide greater transparency and cost-effectiveness for consumers. Companies like MedOne are leading the way in this space, offering innovative services designed to help employers and other organizations manage their prescription drug benefits more effectively. With a focus on transparency and cost savings, pass-through transparent PBMs are helping to improve the health outcomes of individuals across the country.

Hunter Shepherd

Hunter Shepherd, President of Kennion Benefit Advisors, is your go-to guy for all things benefits. With years of expertise and a knack for making complex things simple, he's always ready for a friendly chat. Dive into his insights, and don't hesitate to connect! Schedule A Call

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