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PBM Evaluation Gives Employers Critical Performance Data

The "Understanding PBM Quality: 2016 National Alliance of Healtcare Purchaser Coalitions PBM Assessment" reports on 

areas where there is significant variation in PBM performance, areas where PBMs in general are successful, and where they all need to improve. 

The blinded public report can be used by employers as a discussion guide with your PBM to explore and benchmark their performancce as well as set expectations for future improvements.

MBGH employer members can get an UNBLINDED report revealing specific PBM performance by emailing Cristie Travis at ctravis@memphisbusinessgroup.org. 

Participating PBMs cover over 250 million covered lives, 80% of the market, and include:

  • Cigna
  • CVS Health
  • Envision Options
  • Express Scripts
  • OptumRx
  • Perform Rx
  • Magellan Rx
  • United Health Care

Specific areas of importance to employers that are reported include (1) program organization; (2) efficiency & appropriateness; (3) specialty pharmaceuticals; (4) outpatient quality, safety, & adherence; (5) pharmaceutical management in chronic disease and behavioral health;  (5) pharmaceutical management for tobacco cessation and weight management; and (6) business practices.

Click here for a copy of the public report.

Posted by Cristie Travis at 8:03 AM

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