Determine the future of your PBM – before CMS (or a health plan) does it for you.
It doesn’t take a crystal ball to see that changes will ripple through healthcare in the coming years. What that means exactly, remains murky, at best. One thing we know for sure: PBMs have successfully established themselves as essential members of the healthcare continuum by growing their capabilities beyond claims adjudication. With the expansion into ancillary services like prior authorizations, grievances and CMS complaint tracking, PBMs are taking hold of their future in the healthcare evolution.