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Group Purchasing Organization

What is a Group Purchasing Organization Relevance to a PBM ?

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Pharmacy Benefit Managers

Spread Pricing: Pharmacy Benefit Managers (PBM)

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The transparency of rebates among Pharmacy Benefit Managers

The Transparency of Rebates among Pharmacy Benefit Managers

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Group Purchasing Organization

What is a Group Purchasing Organization Relevance to a PBM ?

Group Purchasing Organizations (GPOs) play a significant role in the healthcare industry by leveraging the collective purchasing power of their members to negotiate discounted prices and favorable terms for medical supplies, pharmaceuticals, and other healthcare products and services. Group Purchasing Organization Relevance to a PBM While GPOs primarily focus on negotiating contracts for medical supplies […]

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Pharmacy Benefit Managers

Spread Pricing: Pharmacy Benefit Managers (PBM)

Spread pricing is a practice commonly associated with pharmacy benefit managers (PBMs) in the healthcare industry. It refers to the difference between what a PBM charges a health plan sponsor (such as an employer or insurer) for pharmacy services and what the PBM reimburses pharmacies for dispensing medications to patients. Here’s how spread pricing typically […]

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The transparency of rebates among Pharmacy Benefit Managers

The Transparency of Rebates among Pharmacy Benefit Managers

The transparency of rebates among Pharmacy Benefit Managers (PBMs) has been a topic of debate and scrutiny within the healthcare industry. Exploring Transparency of Rebates among Pharmacy Benefit Manager While PBMs may disclose certain rebate information to their clients, the level of transparency varies, and complete transparency is often limited. Here’s why: 1. Confidentiality Agreements: […]

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What are High Performance Networks ?

What are High-Performance Networks?

High-performance networks in an employer-sponsored health plan refer to networks of healthcare providers that have been selected based on their ability to deliver quality care at lower costs compared to other providers. These networks are designed to improve healthcare outcomes and reduce expenses for both employers and employees. Here are some characteristics of high-performance networks […]

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