The executive order and related changes impact not only federal employers but also private businesses, government contractors and educational institutions.

The offer may show employers how hard drug manufacturers will compete based on price, in at least some situations.

Requiring pharmacy benefit managers to pass through updates cut premium changes by an average of 52%.

Just as baseball teams once fixated on home run hitters while overlooking equally valuable players with different skill sets, many organizations focus heavily on traditional big-ticket benefits like premium health care plans while missing opportunities to create greater value through strategically allocating their benefits budget.