EPISODE · Nov 13, 2025 · 38 MIN
Beyond the Middleman: What to Look for in a PBM That Works
from Healthcare Forward: Inside the Self-Funding Revolution · host Roundstone Insurance
What separates a PBM that adds value from one that just adds costs? Host Mike Schroeder and guest Daniel Demyan dig into the traits of an effective PBM—transparent contracts, real-time data, clinical programs, and alignment with employer goals. Along the way, they unpack the impact of high-cost drugs like GLP-1s, share real-world examples of savings, and show how the right PBM strategy can lower costs without cutting care.
What this episode covers
What separates a PBM that adds value from one that just adds costs? Host Mike Schroeder and guest Daniel Demyan dig into the traits of an effective PBM—transparent contracts, real-time data, clinical programs, and alignment with employer goals. Along the way, they unpack the impact of high-cost drugs like GLP-1s, share real-world examples of savings, and show how the right PBM strategy can lower costs without cutting care.
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Beyond the Middleman: What to Look for in a PBM That Works
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