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PBMs' Influence on Drug Pricing and the Healthcare Economy

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Manage episode 441999886 series 2828649
Content provided by Christopher Habig. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Christopher Habig or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.

In this episode of Healthcare Americana, host Christopher Habig interviews the VP of PBM Practice at Xevant, Shane Garduno, an expert in pharmacy benefit management (PBM). They discuss the role of PBMs in the healthcare industry and how they influence drug pricing. Shane explains that PBMs act as pharmacy insurance, handling coverage information, copays, deductibles, and prior authorizations. They also work with employers and health plans to control drug costs and implement cost-saving programs. PBMs negotiate discounts off the price of drugs and work with manufacturers to secure rebate dollars. Shane emphasizes the importance of transparency in PBM pricing and advises employers to negotiate for 100% of rebates and deeper discounts.

More on Freedom Healthworks & FreedomDoc

Subscribe at https://healthcareamericana.com/

More on Shane Garduno & Xevant

Follow Healthcare Americana: Instagram & LinkedIN

  continue reading

248 episodes

Artwork
iconShare
 
Manage episode 441999886 series 2828649
Content provided by Christopher Habig. All podcast content including episodes, graphics, and podcast descriptions are uploaded and provided directly by Christopher Habig or their podcast platform partner. If you believe someone is using your copyrighted work without your permission, you can follow the process outlined here https://player.fm/legal.

In this episode of Healthcare Americana, host Christopher Habig interviews the VP of PBM Practice at Xevant, Shane Garduno, an expert in pharmacy benefit management (PBM). They discuss the role of PBMs in the healthcare industry and how they influence drug pricing. Shane explains that PBMs act as pharmacy insurance, handling coverage information, copays, deductibles, and prior authorizations. They also work with employers and health plans to control drug costs and implement cost-saving programs. PBMs negotiate discounts off the price of drugs and work with manufacturers to secure rebate dollars. Shane emphasizes the importance of transparency in PBM pricing and advises employers to negotiate for 100% of rebates and deeper discounts.

More on Freedom Healthworks & FreedomDoc

Subscribe at https://healthcareamericana.com/

More on Shane Garduno & Xevant

Follow Healthcare Americana: Instagram & LinkedIN

  continue reading

248 episodes

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