AH063 - What's New with Medicaid PBM? With Jessin Joseph, PharmD, MBA episode artwork

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!

Episode metadata supplied by the publisher feed · Published Apr 25, 2025

Embed this episode

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.

Distinct summary based on available episode metadata or transcript content.

NOW PLAYING

AH063 - What's New with Medicaid PBM? With Jessin Joseph, PharmD, MBA

0:00 19:44

No transcript for this episode yet

We transcribe on demand. Request one and we'll notify you when it's ready — usually under 10 minutes.

No similar episodes found.

No similar podcasts found.

Frequently Asked Questions

How long is this episode of The Astonishing Healthcare Podcast?

This episode is 19 minutes long.

When was this The Astonishing Healthcare Podcast episode published?

This episode was published on April 25, 2025.

Can I download this The Astonishing Healthcare Podcast episode?

Yes. Use the download control on the episode player to save the publisher-provided media file.
URL copied to clipboard!