PBM RFP Best Practices to Maximize Your Pricing and Negotiating Leverage

By Steve Baumgardner
Mon, Oct, 21, 2019

A priority for many health plans is to negotiate a PBM contract that offers the most competitive pricing with the highest levels of service and flexibility for their plan and members. In order to achieve this, health plans must maximize their leverage by executing a well-strategized RFP. Nothing maximizes a health plan’s leverage more than an RFP in which the bidders perceive an uncertain, but potentially successful, outcome. This article outlines how a health plan can best prepare for an optimal, efficient and successful RFP.

Latest

New Versus Old CMS Protocols and How to Plan for Mock Audits

Yvonne Zachman Fiedler & Alexander Henrichs
Tue, Oct, 15, 2019

8 Best Practices for CMS Independent Validation Audits and Program Audit Close Out

Yvonne Zachman Fiedler & Alexander Henrichs
Tue, Sep, 17, 2019

Plan Ahead to Thrive During PBM Industry Disruption

Steve Baumgardner
Mon, Jul, 29, 2019

Why Health Plans Should Audit their PBM Rebates

Derek Frye
Tue, Jun, 25, 2019

HCCA Managed Care 2019: CMS Regulation and Program Updates

Yvonne Zachman Fiedler
Wed, Apr, 10, 2019

It’s time to start thinking about CMS audits

Yvonne Zachman Fiedler
Tue, Dec, 18, 2018

Improving Drug Utilization Review Controls

Jason Hoyme
Tue, Nov, 21, 2017

PBM Audit Best Practices: Tips for Prioritizing and Conducting PBM Audits

Yvonne Zachman Fiedler & Derek Frye
Thu, Jun, 29, 2017

Pharmacy Audits: Removing the Ambiguity Between Health Plan and PBM

Margaret Berlack & Derek Frye
Thu, May, 25, 2017

Receive full value from your PBM rebates

Chris Hanson-Ehlinger
Thu, Nov, 20, 2014

Align data validation stakeholders to avoid last minute mistakes

Chris Hanson-Ehlinger
Mon, Aug, 18, 2014

Are your PBM pricing discounts seriously underperforming?

Chris Hanson-Ehlinger
Mon, Apr, 07, 2014
Privacy Policy