SmithRx’s Post

💡 Pharmacy Benefit Managers (PBMs) are under fire for driving up healthcare costs, often in ways that remain hidden from patients and employers. Healthcare Uncovered dives into the shady practices of PBMs, revealing how their profit-driven tactics are adding unnecessary costs to our healthcare system. I’m committed to advocating for transparency and smarter solutions that prioritize patients over profits. But I’d love to hear your thoughts: 👉 Have you seen firsthand how PBM practices impact healthcare costs? What solutions do you think could bring more transparency and fairness to this space? 🔍 Read the full article below. #Healthcare #HealthRosetta #PBMs #Transparency #HealthcareCosts #PatientCare #HealthcareReform

💊 DIR Fees: A Hidden Cost Hurting Self-Insured Employers 💸 As self-insured employers, managing pharmacy benefits is crucial to controlling healthcare costs. Yet, DIR Fees (Direct and Indirect Remuneration) often fly under the radar, quietly inflating costs through post-point-of-sale clawbacks. These fees, often buried in the fine print, can significantly increase the cost of medications without any clear benefit to the employer or the patient. Understanding and addressing DIR Fees is essential for ensuring that your pharmacy benefits plan truly serves your organization and its members. 🔍 It’s time to scrutinize these hidden fees and push for greater transparency in your PBM contracts! 👉 Watch our video explainer to dive deeper into how DIR Fees impact your bottom line and what you can do about it! #SelfInsured #PharmacyBenefits #DIRFees #Transparency #HealthcareCosts #VideoExplainer

💊 DIR Fees: A Hidden Cost Hurting Self-Insured Employers 💸 As self-insured employers, managing pharmacy benefits is crucial to controlling healthcare costs. Yet, DIR Fees (Direct and Indirect Remuneration) often fly under the radar, quietly inflating costs through post-point-of-sale clawbacks. These fees, often buried in the fine print, can significantly increase the cost of medications without any clear benefit to the employer or the patient. Understanding and addressing DIR Fees is essential for ensuring that your pharmacy benefits plan truly serves your organization and its members. 🔍 It’s time to scrutinize these hidden fees and push for greater transparency in your PBM contracts! 👉 Watch our video explainer to dive deeper into how DIR Fees impact your bottom line and what you can do about it! #SelfInsured #PharmacyBenefits #DIRFees #Transparency #HealthcareCosts #VideoExplainer

💊 DIR Fees: A Hidden Cost Hurting Self-Insured Employers 💸 As self-insured employers, managing pharmacy benefits is crucial to controlling healthcare costs. Yet, DIR Fees (Direct and Indirect Remuneration) often fly under the radar, quietly inflating costs through post-point-of-sale clawbacks. These fees, often buried in the fine print, can significantly increase the cost of medications without any clear benefit to the employer or the patient. Understanding and addressing DIR Fees is essential for ensuring that your pharmacy benefits plan truly serves your organization and its members. 🔍 It’s time to scrutinize these hidden fees and push for greater transparency in your PBM contracts! 👉 Watch our video explainer to dive deeper into how DIR Fees impact your bottom line and what you can do about it! #SelfInsured #PharmacyBenefits #DIRFees #Transparency #HealthcareCosts #VideoExplainer

💊 DIR Fees: A Hidden Cost Hurting Self-Insured Employers 💸 As self-insured employers, managing pharmacy benefits is crucial to controlling healthcare costs. Yet, DIR Fees (Direct and Indirect Remuneration) often fly under the radar, quietly inflating costs through post-point-of-sale clawbacks. These fees, often buried in the fine print, can significantly increase the cost of medications without any clear benefit to the employer or the patient. Understanding and addressing DIR Fees is essential for ensuring that your pharmacy benefits plan truly serves your organization and its members. 🔍 It’s time to scrutinize these hidden fees and push for greater transparency in your PBM contracts! 👉 Watch our video explainer to dive deeper into how DIR Fees impact your bottom line and what you can do about it! #SelfInsured #PharmacyBenefits #DIRFees #Transparency #HealthcareCosts #VideoExplainer

"The three biggest PBMs — CVS Caremark, OptumRx and ExpressScripts — control nearly 80% of the insured prescriptions in the United States, and the six biggest PBMs control 94% of that marketplace, the FTC report said. They are at the core of conglomerates that are gobbling up a rapidly increasing share of the nation’s vast annual healthcare spending." https://lnkd.in/g9HBRVrF Healthcare deserts are growing across the United States. Our organization is here to help. #healthcareaccess #healthcare #pharmacy #independentpharmacy #communitypharmacy Learn more about our work: https://lnkd.in/gFVuPvgr

In #healthcare, details matter—experience and results even more so. As a “one of one” #pharmacybenefits organization, we prioritize financial #alignment, never make money on #drugspend, and have spent the last 7 years building robust infrastructure—like JUDI® and our 24/7/365 domestic call center. This groundwork allows us to tackle new challenges, like quickly building a robust #M3P solution that meets all Centers for Medicare & Medicaid Services' requirements. No other #PBM is better prepared to set a new standard for the future of #PharmacyBenefitAdministration. Discover more about what makes us a "one of one" organization: https://okt.to/tj6GWQ #HealthcareInnovation #PBMTransformation

Last week, the New York Department of Financial Services (DFS) finalized a sweeping rule governing the market conduct of pharmacy benefit managers (PBMs) in the state. The DFS rule establishes new standards designed to protect independent pharmacies and covered individuals, including: -Pharmacy network contract standards that protect independent pharmacies from lower reimbursement rates. -Requirements for PBMs to publish information on their formularies and pharmacy networks. -Limits on practices that could steer patients to affiliated pharmacies. The market conduct standards apply to any entity that provides pharmacy benefit management services for self- or fully-funded health benefit plans, the Medicaid program, and state employee benefit plans. Read our brief for more information: https://bit.ly/3V9bSSO

In #healthcare, details matter—experience and results even more so. As a “one of one” #pharmacybenefits organization, we prioritize financial #alignment, never make money on #drugspend, and have spent the last 7 years building robust infrastructure—like JUDI® and our 24/7/365 domestic call center. This groundwork allows us to tackle new challenges, like quickly building a robust #M3P solution that meets all Centers for Medicare & Medicaid Services' requirements. No other #PBM is better prepared to set a new standard for the future of #PharmacyBenefitAdministration. Discover more about what makes us a "one of one" organization: https://okt.to/iuNstA #HealthcareInnovation #PBMTransformation

In #healthcare, details matter—experience and results even more so. As a “one of one” #pharmacybenefits organization, we prioritize financial #alignment, never make money on #drugspend, and have spent the last 7 years building robust infrastructure—like JUDI® and our 24/7/365 domestic call center. This groundwork allows us to tackle new challenges, like quickly building a robust #M3P solution that meets all Centers for Medicare & Medicaid Services' requirements. No other #PBM is better prepared to set a new standard for the future of #PharmacyBenefitAdministration. Discover more about what makes us a "one of one" organization: https://okt.to/9fXUEu #HealthcareInnovation #PBMTransformation