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Pharmacy benefit managers: evaluating clinical utility in the real world
1Medco Health Solutions, Inc., Franklin Lakes, New Jersey, USA. Robert_epstein@medco.com
Pharmacy benefit managers (PBMs) conduct research on healthcare costs and outcomes. Their unique system role allows them to evaluate the clinical utility of biomarkers.
Area of Science:
- Health economics
- Pharmaceutical policy
- Clinical research
Background:
- Pharmacy benefit managers (PBMs) have a history of publishing peer-reviewed research.
- Their research spans diverse areas including benefit design, disease epidemiology, and medication impact on costs.
Purpose of the Study:
- To highlight the established research contributions of PBMs.
- To identify the emerging role of PBMs in evaluating biomarker clinical utility.
Main Methods:
- Review of existing peer-reviewed literature published by PBMs.
- Analysis of the PBM's integrated role within the healthcare system.
Main Results:
- PBMs have a significant body of research on health outcomes and costs.
- The PBM's position facilitates unique insights into biomarker evaluation.
Conclusions:
- PBMs' research expertise is well-established.
- PBMs are positioned to play a key role in assessing the clinical utility of biomarkers due to their system integration.
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