EPISODE · Apr 25, 2025 · 19 MIN
AH063 - What's New with Medicaid PBM? With Jessin Joseph, PharmD, MBA
from The Astonishing Healthcare Podcast
In this episode of the Astonishing Healthcare podcast, we welcome Jessin Joseph, PharmD, MBA, back to the studio. Jessin's focus on the pharmacy benefit administration side of the business and experience at Kentucky Medicaid and working with health plan clients inform the discussion about the impact the new administration and appointments in Washington, D.C., may have on health plan partners, MPPP (M3P), various models of Pharmacy Benefit Management (PBM) for Medicaid, including the single PBM and carve-out/unbundling approaches, and how the drug price benchmark can influence access to medication for plan members.In Episode 16 - The Intersection of Pharmacy, Government Requirements, and Medicaid, Jessin highlighted the momentum that discussions around single PBM seemed to have, and this time around, nearly a year later, he dives into why everyone is talking about unbundling the pharmacy benefit!Related ContentReplay: How You Can Leverage Modern Technology to Meet the CMS Medicare Prescription Payment Plan RequirementsPartnership & Collaboration: Why PBMs and Health Plans Should Sync on Regulatory Change Management AH033 - Never Move Again™, a Paradigm Shift in Pharmacy Benefits, with AJ Loiacono (for more on unbundling)Please visit Capital Rx Insights for additional content, including this episode's transcript!
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What this episode covers
In this episode of the Astonishing Healthcare podcast, we welcome Jessin Joseph, PharmD, MBA, back to the studio. Jessin's focus on the pharmacy benefit administration side of the business and experience at Kentucky Medicaid and working with health plan clients inform the discussion about the impact the new administration and appointments in Washington, D.C., may have on health plan partners, MPPP (M3P), various models of Pharmacy Benefit Management (PBM) for Medicaid, including the single PBM and carve-out/unbundling approaches, and how the drug price benchmark can influence access to medication for plan members.
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AH063 - What's New with Medicaid PBM? With Jessin Joseph, PharmD, MBA
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