Employee-Paid

New court papers released by DOJ may be the tip of the iceberg, lawmakers and advocates say.

West Virginia began to license PBMs in 2020. In 2022, the state began to require insurers to pass all prescription drug rebates and other prescription drug discounts on to health insurance purchasers in 2022.

An Aon health benefits specialist predicts that employers will have to work harder to monitor their pharmacy benefit managers.

The average allowed amount for a patient with no chronic conditions was $1,590, while the average allowed amount for a patient with one chronic condition was nearly double, at $3,039.

"Employers have an opportunity to strengthen engagement by pairing competitive benefits with greater flexibility and support that helps people feel more secure," said Jake Spiegel, senior research associate at EBRI.

About 46% of respondents said they somewhat or greatly preferred the idea of being able to choose from a long list of coverage providers and plan types.