Ken Kemker

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.

Most employers assume their PBM works for them. Traditional PBMs often collect revenue from multiple sources. Learn what a fiduciary PBM does differently.