Jove
Visualize
Contact Us

Related Experiment Videos

Pharmacy benefit managers: a model for Medicare?

V V Goff

    Issue Brief (George Washington University. National Health Policy Forum)
    |November 9, 2001
    PubMed
    Summary
    This summary is machine-generated.

    Related Concept Videos

    You might also read

    Related Articles

    Articles linked to this work by shared authors, journal, and citation graph.

    Sort by
    Same author

    Health reform and organized systems of care.

    New directions for mental health servicesยท1993
    See all related articles
    JoVE
    x logofacebook logolinkedin logoyoutube logo
    ABOUT JoVE
    OverviewLeadershipBlogJoVE Help Center
    AUTHORS
    Publishing ProcessEditorial BoardScope & PoliciesPeer ReviewFAQSubmit
    LIBRARIANS
    TestimonialsSubscriptionsAccessResourcesLibrary Advisory BoardFAQ
    RESEARCH
    JoVE JournalMethods CollectionsJoVE Encyclopedia of ExperimentsArchive
    EDUCATION
    JoVE CoreJoVE BusinessJoVE Science EducationJoVE Lab ManualFaculty Resource CenterFaculty Site
    Terms & Conditions of Use
    Privacy Policy
    Policies

    Large employers

    Area of Science:

    • Health Policy
    • Pharmaceutical Management
    • Healthcare Administration

    Background:

    • Pharmacy benefit managers (PBMs) play a significant role in managing prescription drug benefits for large employers.
    • Understanding employer experiences with PBMs offers insights into potential administrative models for Medicare.
    • Previous analyses have explored the PBM industry, providing a foundation for this issue brief.

    Purpose of the Study:

    • To evaluate the potential of pharmacy benefit managers (PBMs) as administrators for the Medicare outpatient drug benefit.
    • To analyze large employer experiences, management techniques, and perspectives on PBMs.
    • To identify considerations for Medicare policy based on employer PBM utilization.

    Main Methods:

    • Literature review of existing PBM research and policy analyses.

    Related Experiment Videos

  • Qualitative data collection through conversations and interviews with key stakeholders.
  • Interviews conducted with large employers, PBM industry executives, and benefits consultants.

    • Main Results:

    • Large employers utilize PBMs for various management functions, with mixed perspectives on their strengths and weaknesses.
    • Employer experiences highlight specific PBM management techniques and common approaches.
    • Lessons learned from employer PBM partnerships offer valuable insights for policy development.

    Conclusions:

    • Employer experiences with PBMs provide a relevant framework for considering Medicare's role in outpatient drug benefit administration.
    • PBMs demonstrate potential administrative capabilities, but policy considerations must address employer-identified strengths and weaknesses.
    • Further examination of PBMs within the Medicare context is warranted to inform policy decisions.