The Truth About PBMs and Rising Costs + What You Can Do About It (Ep. 19)
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Healthcare costs are spiraling out of control, but most employers don’t realize they have the power to change the game.
In this episode of The Benefit Whisperer, Ralph Weber explains why CFOs and CEOs must step into the role of health plan architects because fiduciary responsibility doesn’t stop at payroll.
Ralph and co-host Bill Tucker dig into the truth about PBMs (pharmacy benefit managers) and how these companies profit from a system that drives up premiums and hides real costs.
Ralph breaks down the critical differences between fully insured and self-insured plans, why transparency is key, and how tools like MediPay.ai give companies leverage to save money while improving care for employees.
Here’s what discussions you can expect in the episode:
- Why fiduciary lawsuits are changing employer responsibilities
- How self-insured plans offer control and cost savings
- Why PBM pricing remains a hidden threat
- Practical steps to start designing smarter benefits
- And more!
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