- PODCAST
The Advisor’s PBM Playbook: How to Win on Lowest Net Cost, Not Spreadsheets
In this eye-opening episode, John Sbrocco is joined by PBM expert Justin Jasniewski to reveal why the introduction of Humira biosimilars failed to lower drug costs and how hidden PBM incentives are costing your health plan millions.
Justin Jasniewski, CEO of Serve You RX and a PBM industry leader, exposes the complex games that drive up pharmacy spend. He explains why the traditional “spreadsheet game” of chasing the highest rebate is a losing strategy designed to benefit the PBM, not the employer. He breaks down the critical difference between a PBM that claims to be “transparent” and one that is a true fiduciary, contractually bound to act in your best interest.
Tune in to understand:
| The critical difference between a “transparent” and a true fiduciary PBM. | |
| The “product hopping” tactic that switches members from low-cost biosimilars to expensive specialty drugs, costing plans millions. | |
| Why chasing the highest rebate almost never leads to the lowest net cost for an employer. | |
| Actionable insights for advisors on how to move beyond the spreadsheet and demand PMPM (per member per month) data to prove real savings. |
Show Sponsor:
Virtue Health introduces a new, full-stack healthcare solution integrated with their flagship product the “Virtue Health Consortium” for advisers managing small to midsize employers. Arrange a one-on-one session with the host of the Heads Up Adviser podcast, John Sbrocco to learn if you’re qualified to join.
CLICK HERE to choose the date and time for your meeting.
Learn More About Virtue Health:
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While every other health broker commoditizes themselves by selling the same short-term band-aid to a long-term problem, you will learn how to communicate to business owners why structuring and designing their own health care plan can be a competitive advantage for the organization.
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