Pharmacy Benefit Managers: A Model for Medicare?
July 9, 2001
Veronica V. Goff, Consultant
This meeting used large employer experiences with pharmacy benefit managers (PBMs) to shed light on their potential as Medicare outpatient drug benefit administrators. PBM management techniques and typical employer approaches were discussed, as well as employer perspectives on PBM strengths and weaknesses and lessons learned. Considerations for Medicare policy were also examined. The brief built on previous National Health Policy Forum PBM industry analysis; in particular the October 1999 Forum and issue brief, The ABCs of PBMs.
Bridget Eber, PharmD, Practice Leader, Prescription Benefits, Hewitt Associates; Cynthia Kirman, PharmD, Director of Pharmacy, Health Care Initiatives, General Motors Corporation; Bruce I. Taylor, Director, Benefits Planning, Health and Welfare Plans, Verizon Communications; Jeff Sanders, Senior Vice President, Strategic Initiatives, AdvancePCS; comments from Lynn Etheredge, Independent Health Care Consultant
More information available in the accompanying publication, Issue Brief No. 765.
See also The ABCs of PBMs (Issue Brief No. 749, October 27, 1999).