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Choosing the right PBM.

K L Brodsky

    HMO
    |April 8, 1995
    PubMed
    Summary
    This summary is machine-generated.

    Health maintenance organizations (HMOs) increasingly use pharmacy benefit management (PBM) firms for prescription drug programs. This guide provides essential tips for evaluating PBMs and their services.

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    Area of Science:

    • Health Services Research
    • Pharmaceutical Policy

    Background:

    • Health maintenance organizations (HMOs) are increasingly outsourcing prescription benefit program administration.
    • Pharmacy benefit management (PBM) firms are key partners in this trend.

    Purpose of the Study:

    • To provide guidance for HMOs on selecting and evaluating PBMs.
    • To outline critical services offered by PBMs.

    Main Methods:

    • Consultant-led analysis of PBM evaluation criteria.
    • Review of essential PBM services for HMOs.

    Main Results:

    • Key factors for evaluating PBMs include cost, network, and clinical programs.
    • Understanding PBM service offerings is crucial for successful partnerships.

    Conclusions:

    • HMOs can optimize prescription benefit programs through careful PBM selection.
    • Effective PBM evaluation leads to improved member satisfaction and cost control.