Ken Kemker

Tennessee's PBM reform bill targets spread pricing, rebates, and pharmacy reimbursement. Here's what employers should watch as the legislation takes shape.

In a real estate transaction, two people sit across the table from each other with opposite goals. The seller wants the highest price possible. The buyer wants to pay as little as they can. Now imagine one agent representing both of them at the same time. That agent cannot fully advocate for either party without undermining the other, and someone ends up on the losing side. Traditional pharmacy benefit managers operate inside the same conflict, and most employers have never stopped to...

Most PBM contracts show you some of the picture. Learn how spread pricing, rebate definitions, and carve-outs affect what your plan actually pays.