Benefits Sales Strategies

“Our drive to greater drug pricing transparency through innovation has never been more needed,” Ed DeVaney says.

In 2023, U.S. health expenditures surged by 7.5%, reaching $4.9 trillion, or an average of $14,570 per person, according to the Centers for Medicare & Medicaid Services. 

When a board member uses this position for personal gain, the hospital’s purpose is lost, and those who rely on its care suffer.

The DOGE team's request is part of a plan to cut federal spending by $1 trillion, with Medicaid cuts likely.

In this interview, we discuss fiduciary responsibilities, PBM contracts, and litigation risks with two industry experts.

A shift away from the status quo can be scary, but with pharmacy costs and health care spending nearing unsustainable levels and all-time highs and great scrutiny of the fiduciary obligations of plan sponsors, the stakes are too high to hope for better communication, collaboration, and results from traditional PBMs.

Employees are now largely left to their own devices to figure out the benefits enrollment process. This “passive enrollment” trend is mired in a mix of clunky technology, poor communication, less effective call center interactions, and, with on-cycle enrollments, lower visibility for voluntary benefits.

The grocery retailer terminated its agreement with the PBM in 2022, citing ‘unsustainable’ pricing model.