Making sure you feel as good as you look - Wayne Thuna

Views:
 
Category: Entertainment
     
 

Presentation Description

Pharmacy benefit managers, or PBMS, the company that manages prescription drug benefits on behalf of health insurance, Medicare Part D drug plan, large employers and other payers

Comments

Presentation Transcript

Making sure you feel as good as you look:

Making sure you feel as good as you look Wayne Thuna

Slide2:

Wayne Thuna lived in the US California and she is a pharmaceutical wholesaler, Wayne has a brief knowledge of the drug is a chemical or compound that is used to cure, stop, or prevent any disease; relieve symptoms; or assist in the diagnosis of disease. pharmacy benefit managers have a significant impact behind the scenes in determining the cost of medicines and patient access to drugs. Some experts think the pharmaceutical benefit managers need to move their business models away from securing rebates from drug manufacturers and toward encouraging better value in pharmaceutical spending.

What are pharmacy benefit managers?:

What are pharmacy benefit managers? Pharmacy benefit managers, or PBMS, the company that manages prescription drug benefits on behalf of health insurance, Medicare Part D drug plan, large employers and other payers. By negotiating with drug manufacturers and pharmacies to control drug spending, PBMS have a significant impact behind the scenes in determining the total drug costs for insurance, forming a patient access to medicines, and determine how many pharmacies are PBMS paid.1 face growing scrutiny of the role of them in the rising cost of prescription drugs and spend.

What role do PBMs play in how much we spend on prescription drugs ?:

What role do PBMs play in how much we spend on prescription drugs ? PBMS operates in the middle of the distribution chain for prescription drugs. That's because they are: • develop and maintain a list, or formulary covered drugs on behalf of health insurance, which influences the use of individual medications and determines out-of-pocket costs. • using their purchasing power to negotiate rebates and discounts from drug manufacturers. • direct contracts with individual pharmacies to substitute for drugs dispensed to beneficiaries.

What’s the controversy over the rebates PBMs receive from drug companies?:

What’s the controversy over the rebates PBMs receive from drug companies?

Slide8:

Drugmakers found growing rebates they pay PBMS forcing them to raise prices for their product list. In the final analysis, manufacturer rebates for PBMS increased from $ 39.7 billion in 2012 to the US $ 89.5 billion by 2016, partially offset the price list PBMS increases.4 fight that they have passed along the greater part of the rebate for insurance. A separate controversy involving PBM practice known as "price spread," where PBMS reimbursed by health plans and employers a higher price for generic drugs than what PBMS really pay pharmacies for these drugs. The PBMS then keep the difference. Again, the lack of transparency allows this to happen: the payment schedule for pharmacies PBMS generating kept secret from the health plan.

Thank You :

Thank You

authorStream Live Help