article thumbnail

Pharmacy benefit management demystified: How PBMs influence prescription drug pricing

HealthPartners

They also operate a “reseller” business model, earning margin on prescription drug fills at retail and mail-order pharmacies. billion by 2025. Traditional PBMs earn administrative fees for services provided to the employer. The result? That’s bad news for businesses. The self-funded employer’s No.

article thumbnail

NHC Comments on Medicare Prescription Payment Plan

Putting Patients First Blog

We suggest that CMS and Part D sponsors engage with I/T/U pharmacies to ensure that IHS-eligible Part D enrollees are aware of the MPPP and understand how their coverage through I/T/U pharmacies interacts with the program. However, clarity is also needed regarding online or digital-focused pharmacies.

Insiders

Sign Up for our Newsletter

This site is protected by reCAPTCHA and the Google Privacy Policy and Terms of Service apply.

Trending Sources

article thumbnail

NHC Comments on Medicare Prescription Payment Plan

Putting Patients First Blog

We suggest that CMS and Part D sponsors engage with I/T/U pharmacies to ensure that IHS-eligible Part D enrollees are aware of the MPPP and understand how their coverage through I/T/U pharmacies interacts with the program. However, clarity is also needed regarding online or digital-focused pharmacies.

article thumbnail

Amazon Health… Third Time’s a Charm  

Fuld & Company Blog

Amazon plans to increase its number of clinics to 600 by 2025 and Walmart, with only 50 Health Centers today, has plans to grow to 75 by the end of 2024. This network can be compared to CVS with 1,100 Minute Clinics around the country, and Walgreens with its 230 value-based primary care clinics, VillageMD. This is clearly a space to watch!