Alternatives to the top pharmacy benefits managers say they have fairer, more cost-effective business models for administering employer’s drug benefits but that they are often on uneven footing due to the vertical integration and power of the largest health insurance companies and PBMs.
Key Takeaways
- Vertical integration between health insurance companies and PBMs is leading to anticompetitive practices that make it unaffordable or impossible for self-funded employer health plans to switch to alternative PBMs, the newer PBMs argue.
Self-funded employers that want to work with an alternative PBM –ones like Rightway, whose business model is not based on...
