Tag: Prescription Drug Spending

Podcast title graphic for The Benefit Whisperer featuring Benjamin Jolley, discussing prescription drug pricing, PBM corruption, and spread pricing.
The Billion Dollar Drug Scam (Ep. 8)

The Billion Dollar Drug Scam (Ep. 8)

By |

Podcast: Play in new window | Download | Embed

Subscribe: RSS | More

Why Are Prescription Drugs So Expensive? The Truth About PBMs, Spread Pricing & What Employers Can Do

In this eye-opening episode of The Benefit Whisperer, host Ralph Weber sits down with pharmacist and reform advocate Benjamin Jolley to expose the hidden forces behind America’s skyrocketing prescription drug costs. 💊

From shocking stories of $1,800 bills for $140 drugs to the disturbing influence of pharmacy benefit managers (PBMs) and their spread pricing schemes, this conversation breaks down complex systems with clarity—and urgency.

🔥 Highlights include:

  • Why the U.S. pays more for drugs than almost any other nation
  • How a New Jersey benefits plan saved $1 BILLION just by rewriting its contract
  • The dangerous power of vertically integrated PBMs like CVS Caremark
  • The recent bipartisan push by 39 state Attorneys General to break up monopolies
  • How employers and CFOs can protect themselves from being held personally liable

If you’re an employer, benefits administrator, policymaker—or just someone wondering why your prescriptions are so expensive—this is a must-watch.

📌 Chapters:
 0:00 – Welcome + Prescription Drug Teaser
 0:41 – Meet Benjamin Jolley
 1:00 – Why Prescription Costs Are So High
 4:00 – What Is Spread Pricing? (Shocking Example)
 8:00 – Silencing Critics: Non-Disparagement and Audits
 13:00 – What Should Employers Be Paying Per Member?
 17:40 – 39 Attorneys General Demand PBM Reform
 21:00 – New Jersey’s $1B Savings by Rewriting a PBM Contract
 25:00 – Closing Thoughts + How to Reach Benjamin
Medical Debt Is Bankrupting Americans (Ep. 6)

Medical Debt Is Bankrupting Americans (Ep. 6)

By |

Podcast: Play in new window | Download | Embed

Subscribe: RSS | More

What if the greatest threat to your financial security isn’t a market crash, but a medical bill?

In this eye-opening episode, Ralph Weber uncovers the hidden costs of America’s broken healthcare system. Every minute, a family files for bankruptcy due to medical expenses, and employers are spending over $16,000 per employee each year, often more than they invest in their own core business.

Ralph breaks down why this system is unsustainable and what you can do about it. He shares practical, forward-thinking solutions — from customized level-funded health plans to smarter prescription drug formularies, that could dramatically cut costs and protect your bottom line.

If you’re a business owner, HR leader, or simply someone trying to make sense of rising healthcare costs, this conversation is a must-listen.

Key discussion points include:

  • The alarming rise of medical bankruptcies [00:01:04]
  • How medical debt impacts both employees and employers [00:03:00]
  • Innovative healthcare solutions to manage and reduce costs [00:10:11]
  • The role of self-insured plans and level funding [00:10:48]
  • Real-world examples of healthcare financial struggles [00:06:42]
  • Legal implications for employers not managing health costs effectively [00:17:07]
  • And more!

Resources:

Connect with Ralph Weber: