Position Yourself to Win—
Set Up Your Own PBM Program

If you’re like many TPAs, you contract with a full-service pharmacy benefits manager (PBM) who manages the network, processes and pays prescription drug claims, develops and maintains the formulary, negotiates discounts and rebates with drug manufacturers, and provides mail order and other specialty services. The idea, of course, is to save money for your clients, but a fully bundled program may cost more than necessary. That’s because most PBMs use spread pricing, where they purchase drugs at one price, invoice their clients at a higher price and profit from the spread. Others use pass-through pricing, which requires them to pass the purchase or reimbursement price to their clients and generate profits by charging flat administrative fees. Maybe it's time to look for an option that provides a cost savings to your clients and adds to your revenue at the same time.

Talking Self-Insurance with James A. Kinder
The Self-Insurance Institute of America, Inc. (SIIA) is the only national association dedicated to protecting and promoting the self-insurance and alternative risk transfer industry. It was founded in 1981 by James A. Kinder and now has members from across the nation and around the world.