Benefits lead or CFO at a self-funded employer
Self-funded employers pay pharmacy claims through PBM contracts whose spreads, rebates, and formulary steering they cannot see, routinely overpaying for drugs with cheaper therapeutic equivalents.
- Trigger
- Employers have won headline lawsuits and congressional attention over PBM spread pricing and rebate opacity.
- Budget
- Annual per-employee-per-year analytics fee, standard in benefits tooling.