Risk & Insurance magazine recently published an article that explored the role pharmacy benefit managers (PBMs) play in workers’ comp.
While PBMs are often thought of as middlemen for price negotiations, there are some differences in how workers’ comp PBMs function compared with group health PBMs.
The article overviews the key roles and value provided by PBMs in workers’ comp, including:
- Clinical management
- Network penetration strategies
- Expertise and service
- Transparency
- Effective and secure technology
- Meaningful analytics and reports
The article featured Healthe leaders Silvia Sacalis, VP, Clinical Services, and Matt Hewitt, SVP, Operations, who contributed their thoughts on these topics.
Read the article in full at Risk & Insurance magazine online.
