Former Louisiana governor Bobby Jindal urges his fellow Republicans to start talking about health care reform--but not ACA repeal just yet.

The proposal has immense public support and even bipartisan adherents. But then, this is politics.

Under the plan, coverage policies of health insurance plans would get closer attention.

Misaligned incentives, spread pricing, opaque rebates, and specialty distribution models perpetuate extensive customer mistrust in PBMs, and for good reason. The only way the industry will change is if new players are able to disrupt the market by providing alternatives — and competition — to traditional PBMs.