Insights
What we’re watching
Pharmacy benefits are changing fast. Explore our perspective on the clinical, financial and operational decisions behind better PBM performance, and see how we support members along the way.

From Rejection to Protection: What Pharmacy Transparency Should Really Show
Pharmacy transparency should show more than what a plan spent after the fact. It should reveal where clinical risk was identified, where a claim was corrected and how the pharmacy benefit protected the member and the plan before a medication was dispensed.
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What the New Cervical Cancer Mortality Data Shows About Age at HPV Vaccination
the visit between ages 9 and 13 now carries quantifiably more preventive weight than the same conversation three or four years later, and the difference is large enough to change how the opportunity is prioritized.
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Clinical
Medication Safety & Prevention

CAA 2026 PBM Readiness Starts With the Contract. It Doesn’t End There.
CAA 2026 gives plan sponsors stronger rights to see PBM compensation and rebate arrangements, but disclosure alone is not readiness. Plans must ensure their contracts provide meaningful access to data, then use that visibility to evaluate decisions, conflicts and performance.
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PBM Strategy
PBM Transparency & Compliance

Your PBM's Network May Be Adequate. But Is It Working?
A broad pharmacy network ensures access, but it does not guarantee that a plan is paying the best available rate. Employers and health plans should ask whether retail and specialty claims are evaluated prescription by prescription, rather than relying on aggregate network performance.
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Cost & Utilization Management
PBM Strategy
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