Drafting Pharmacy Benefit Manager Contracts: Controlling Costs, Avoiding Hidden Fees
Navigating Prescription Drug Pricing Complexities, Selecting PBMs, Managing the Relationship
Recording of a 90-minute premium CLE webinar with Q&A
This CLE course will prepare employee benefits counsel to negotiate and draft pharmacy benefit manager (PBM) agreements for employee health plans. The panel will discuss how to maximize prescription coverage savings, draft agreements that guarantee transparency and plan sponsor oversight, and avoid hidden fees.
Outline
- Overview of PBM contracting
- Selecting PBMs
- Negotiating agreements
- Pricing and fees
- Monitoring PBMs
Benefits
The panel will review these and other key issues:
- Ensuring flexibility to remain nimble in a rapidly changing marketplace
- Avoiding drafting pitfalls that increase prescription benefit costs
- Developing effective RFPs to compare and select PBMs
- Conducting an audit of a PBM contract and benefit plan
Faculty
Edward A. Kaplan
Senior Vice President
The Segal Group
Mr. Kaplan has extensive experience in the benefits industry and has specialized expertise in pricing and plan... | Read More
Mr. Kaplan has extensive experience in the benefits industry and has specialized expertise in pricing and plan design strategies for managed medical, dental and prescription drug programs. He works with companies, governments and collectively-bargained plans (including a statewide retirement health plan system, coalition of entertainment industry health plan sponsors and the collectively-bargained workers of a national transportation employer).
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Louise F. (Wendy) Pongracz
Partner
Willig Williams & Davidson
As a labor and benefits practitioner with nearly 25 years of experience, Ms. Pongracz counsels and represents public... | Read More
As a labor and benefits practitioner with nearly 25 years of experience, Ms. Pongracz counsels and represents public and private-sector single and multi-employer funds in a comprehensive range of employee benefit issues. She is also a consistent lecturer and frequent author on topics ranging from benefits in labor negotiations to compliance with federal benefits laws and regulations, including ERISA, IRC, HIPPA and COBRA matters.
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