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:

Guest:

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

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