It is essential that plan sponsors audit their PBM to confirm that the PBM has delivered the contracted pricing and has implemented plan designs correctly. (Photo: Shutterstock)
(Editor's note: This is the second of a two-part series. Catch up on Part 1 here.)
As PBMs continue their fight to preserve the opacity of the status quo, private employers cannot afford to rely on the Supreme Court or state legislatures alone to secure transparency and gain control of their benefit costs. Plan sponsors have more power than they may realize when evaluating a PBM, and it comes in the form of the contract and being firm at the negotiation table.
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