The Benefit Whisperer

The Rebate Racket: Why Employers Are Still Getting Fleeced (Ep. 35)


Listen Later

Ralph Weber is joined again by PBM insider Rachel Strauss to deconstruct how rebate programs have evolved into hidden commissions and cost traps. Learn how to avoid rebate mirages, leverage 340B strategies, and spot the telltale signs your PBM is profiting more than they should.

00:00 Introduction to Pharmacy Benefits and Rebates

02:39 The Evolution of Rebates in Healthcare

07:08 Understanding How Rebates Work

10:12 The Importance of Net Cost Tracking

15:28 Exploring Alternative PBM Models

18:17 Understanding Fiduciary Responsibility in PBM Contracts

19:01 The Role of Prior Authorization and Step Therapy

24:48 Navigating Pharmaceutical Pricing and Transparency

26:53 Quick Wins for Employers in Pharmacy Benefits Management

Guest: Rachel Strauss | rachelmstrauss.com | LinkedIn: linkedin.com/in/rachelmstrauss | Email: [email protected]

Host: Ralph Weber | [email protected] | Phone: (832) 924-3330 | Website: fixmybenefitsnow.com | Schedule a FREE consultation with Ralph: bit.ly/4i8Zpsw

...more
View all episodesView all episodes
Download on the App Store

The Benefit WhispererBy Ralph Weber

  • 5
  • 5
  • 5
  • 5
  • 5

5

2 ratings


More shows like The Benefit Whisperer

View all
Relentless Health Value by Stacey Richter

Relentless Health Value

240 Listeners

Self-Funded by Spencer Smith

Self-Funded

37 Listeners