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 CLE webinar with Q&A


Conducted on Thursday, December 14, 2017

Recorded event now available

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Program Materials

This CLE webinar 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.

Description

Prescription drug expenses have increased more than any other healthcare category over the past 10 years. PBMs can help employers with self-funded plans control prescription costs, but PBM contracts must be carefully negotiated and drafted to protect the plan sponsor’s—rather than the PBM’s—interests.

Counsel must thoroughly understand the complexities of prescription drug pricing and PBM contracting to control costs, avoid hidden fees, and maximize prescription drug benefit performance. They must also ensure that prescription drug benefits comply with ERISA and ACA requirements.

Listen as our authoritative panel offers strategies for negotiating and drafting PBM contracts. The panel will discuss how to maximize prescription coverage savings, draft agreements that guarantee transparency and plan sponsor oversight, and avoid hidden fees.

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Outline

  1. Overview of PBM contracting
  2. Selecting PBMs
  3. Negotiating agreements
  4. Pricing and fees
  5. 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

Kaplan, Edward
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

Pongracz, Louise
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

Other Formats
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Strafford will process CLE credit for one person on each recording. All formats include program handouts. To find out which recorded format will provide the best CLE option, select your state:

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