Pharmacy Benefit Managers, Part 2
from Modern Practice Podcast Hosted by Dr. Tom Villanueva and Vizient Medical Leadership Team
Pharmacy Benefit Managers (PBMs) have emerged as a powerful player in healthcare today, and their role has brought value but also controversy. They have become a negative challenge for many provider practices Yet, there is a different approach that is more provider-friencly, and on this episode, we explore the approach of Alluma as an alternative to PBMs. Moderator: Tomas Villanueva, DO, MBA, FACPE, SFHM Senior Principal, Clinical Operations and Quality Vizient Guest: Priyesh Patel, PharmD, MBA Vice President and General Manager, Alluma Vizient Show Notes: [00:51] Role of PBMs: value and controversy [02:53] Alluma: a different PBM approach [05:33] PBMs and lagging rebates: a disconnect for health plans [06:58] Best practice: a provider-led solution [09:27] PBMs and thwarted access to preferred medications [10:44] A limited PBM appeals process [11:19] Alluma’s approach: working more closely with providers [11:40] Addressing regional prescribing patterns [15:20] The future: more government regulation Links | Resources: To contact Modern Practice: [email protected] Priyesh Patel’s email: [email protected] “PBM Impact on Employers & Risk to Health Systems” (Alluma white paper): Click here Subscribe Today! Apple Podcasts Amazon Podcasts Android Google Podcasts Spotify Stitcher RSS Feed
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