PBM Reform Archives | National Alliance of Healthcare Purchaser Coalitions Mon, 30 Jun 2025 18:29:20 +0000 en-US hourly 1 https://wordpress.org/?v=6.8.2 https://www.nationalalliancehealth.org/wp-content/uploads/Favicon_NAH.png PBM Reform Archives | National Alliance of Healthcare Purchaser Coalitions 32 32 Is Mark Cuban the Loudmouth Billionaire that Democrats Need for 2028? https://www.nationalalliancehealth.org/news/is-mark-cuban-the-loudmouth-billionaire-that-democrats-need-for-2028/ Tue, 17 Jun 2025 15:55:33 +0000 https://www.nationalalliancehealth.org/?p=20343 The post Is Mark Cuban the Loudmouth Billionaire that Democrats Need for 2028? appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Trump Order Risks Triggering Lawsuits Over Drug Consulting Fees https://www.nationalalliancehealth.org/news/trump-order-risks-triggering-lawsuits-over-drug-consulting-fees/ Fri, 18 Apr 2025 02:19:00 +0000 https://www.nationalalliancehealth.org/?p=19698 The post Trump Order Risks Triggering Lawsuits Over Drug Consulting Fees appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> The Latest National Alliance Tools and Resources https://www.nationalalliancehealth.org/resources/latest-national-alliance-tools-and-resources/ Fri, 11 Apr 2025 21:03:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=14395 Action-oriented recommendations for coalitions, employers and other plan sponsors, and healthcare and benefits professionals.

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]]> Summary of National Alliance Resources https://www.nationalalliancehealth.org/resources/2025-national-alliance-resources-summary/ Fri, 11 Apr 2025 20:59:42 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=19583 A summary of the latest National Alliance resources.

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]]> NAHPC CEO: Souped-Up Value Assessment Entity A Much-Needed Rx Pricing Reform https://www.nationalalliancehealth.org/news/nahpc-ceo-souped-up-value-assessment-entity-a-much-needed-rx-pricing-reform/ Tue, 18 Mar 2025 13:11:02 +0000 https://www.nationalalliancehealth.org/?p=19484 The post NAHPC CEO: Souped-Up Value Assessment Entity A Much-Needed Rx Pricing Reform appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Panelists Detail How Employers Can Demand More From PBM Contracts https://www.nationalalliancehealth.org/news/panelists-detail-how-employers-can-demand-more-from-pbm-contracts/ Fri, 14 Mar 2025 00:02:57 +0000 https://www.nationalalliancehealth.org/?p=19696 The post Panelists Detail How Employers Can Demand More From PBM Contracts appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Benefits group CEO stumps for PBM bills at House hearing https://www.nationalalliancehealth.org/news/benefits-group-ceo-stumps-for-pbm-bills-at-house-hearing/ Thu, 27 Feb 2025 20:38:34 +0000 https://www.nationalalliancehealth.org/?p=19337 The post Benefits group CEO stumps for PBM bills at House hearing appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> House Hearing on PBMs a Tale of Two Discussions https://www.nationalalliancehealth.org/news/house-hearing-on-pbms-a-tale-of-two-discussions/ Thu, 27 Feb 2025 14:36:27 +0000 https://www.nationalalliancehealth.org/?p=19349 The post House Hearing on PBMs a Tale of Two Discussions appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Trump plans for Medicaid come up as House subcommittee deliberates on PBM reform https://www.nationalalliancehealth.org/news/trump-plans-for-medicaid-come-up-as-house-subcommittee-deliberates-on-pbm-reform/ Wed, 26 Feb 2025 20:44:27 +0000 https://www.nationalalliancehealth.org/?p=19342 The post Trump plans for Medicaid come up as House subcommittee deliberates on PBM reform appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Congress Turns Attention to PBM Reform, Sort of https://www.nationalalliancehealth.org/news/congress-turns-attention-to-pbm-reform-sort-of/ Wed, 26 Feb 2025 20:41:55 +0000 https://www.nationalalliancehealth.org/?p=19340 The post Congress Turns Attention to PBM Reform, Sort of appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance CEO Shawn Gremminger Testifies Before House Subcommittee on Energy and Commerce to Offer Employer Perspectives on PBM Reform https://www.nationalalliancehealth.org/news/national-alliance-ceo-shawn-gremminger-testifies-before-house-subcommittee-on-energy-and-commerce-to-offer-employer-perspectives-on-pbm-reform/ Wed, 26 Feb 2025 19:42:30 +0000 https://www.nationalalliancehealth.org/?p=19311 WASHINGTON – February 26, 2025 – High and rising costs of prescription drugs in the commercial market are one of the most pressing concerns for employers and purchasers across the […]

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]]> PBM Misalignment Initiative: Final Report https://www.nationalalliancehealth.org/resources/pbm-misalignment-initiative-final-report/ Mon, 24 Feb 2025 19:25:28 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=19286 The National Alliance PBM Misalignment Initiative investigates and addresses misalignment between employers and their pharmacy benefit management (PBM) service providers.  Building on the 2023 PBM Playbook and other related resources, this final report […]

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]]> National Alliance Announces 2025 Federal Policy Priorities to Offer Relief for America’s Employers and Working Families https://www.nationalalliancehealth.org/news/national-alliance-announces-2025-federal-policy-priorities-to-offer-relief-for-americas-employers-and-working-families/ Tue, 11 Feb 2025 11:27:00 +0000 https://www.nationalalliancehealth.org/?p=19237 WASHINGTON – February 11, 2025 – In the past two decades, costs for employers offering healthcare coverage has more than doubled, while out-of-pocket expenses for employees is three times higher […]

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]]> How Can Employers Manage Rising Healthcare Costs in 2025? https://www.nationalalliancehealth.org/news/how-can-employers-manage-rising-healthcare-costs-in-2025/ Tue, 07 Jan 2025 20:38:11 +0000 https://www.nationalalliancehealth.org/?p=18118 The post How Can Employers Manage Rising Healthcare Costs in 2025? appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Where smaller PBMs are headed this year https://www.nationalalliancehealth.org/news/where-smaller-pbms-are-headed-this-year/ Tue, 07 Jan 2025 01:48:38 +0000 https://www.nationalalliancehealth.org/?p=18115 The post Where smaller PBMs are headed this year appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> PBM Reform is Part of Congress’ End of Year Bill https://www.nationalalliancehealth.org/news/pbm-reform-is-part-of-congress-end-of-year-bill/ Wed, 18 Dec 2024 00:48:15 +0000 https://www.nationalalliancehealth.org/?p=18019 The post PBM Reform is Part of Congress’ End of Year Bill appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Putting patients first: Workers suffer when their employers lack critical information about PBMs https://www.nationalalliancehealth.org/news/putting-patients-first-workers-suffer-when-their-employers-lack-critical-information-about-pbms/ Sat, 07 Dec 2024 00:49:50 +0000 https://www.nationalalliancehealth.org/?p=18021 The post Putting patients first: Workers suffer when their employers lack critical information about PBMs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Case Studies: Coalitions and Employers are Disrupting the PBM Misalignment Status Quo https://www.nationalalliancehealth.org/resources/pbm-misalignment-case-studies/ Mon, 18 Nov 2024 19:23:40 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=17808 The National Alliance is continuously exploring how misalignment between employer needs and PBM service provider value propositions have affected employers and other and plan sponsors. There is growing risk for […]

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]]> Pharmacy Benefit Management Misalignment: Vendor Engagement Template https://www.nationalalliancehealth.org/resources/pbm-vendor-engagement-template/ Fri, 15 Nov 2024 18:52:34 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=17771 As the pharmacy benefit management industry undergoes the most significant transformation in decades, employers are at the forefront of driving change. This vendor engagement template equips them with information to […]

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]]> National Alliance Survey Reveals Employers Using Innovative Payment Approaches Experienced Lower Healthcare Costs  https://www.nationalalliancehealth.org/news/national-alliance-of-healthcare-purchaser-coalitions-survey-reveals-employers-using-innovative-payment-approaches-experienced-lower-healthcare-costs/ Tue, 29 Oct 2024 12:59:03 +0000 https://www.nationalalliancehealth.org/?p=17547 Pulse of the Purchaser study also finds obesity, women’s health and health equity are growing areas of benefits focus for employers in 2024 and beyond  WASHINGTON – OCTOBER 29, 2024 […]

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]]> Employers eye PBM changes, fearing legal threat https://www.nationalalliancehealth.org/news/employers-eye-pbm-changes-fearing-legal-threat/ Tue, 29 Oct 2024 11:11:47 +0000 https://www.nationalalliancehealth.org/?p=17589 The post Employers eye PBM changes, fearing legal threat appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employer plans face GLP-1 anti-obesity drug rebate threats https://www.nationalalliancehealth.org/news/employer-plans-face-glp-1-anti-obesity-drug-rebate-threats/ Fri, 27 Sep 2024 21:48:35 +0000 https://www.nationalalliancehealth.org/?p=17373 The post Employer plans face GLP-1 anti-obesity drug rebate threats appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Letter to HELP Committee regarding pricing practices of GLP-1s https://www.nationalalliancehealth.org/news/letter-to-help-committee-regarding-pricing-practices-of-glp-1s/ Tue, 24 Sep 2024 18:49:45 +0000 https://www.nationalalliancehealth.org/?p=17343 Employers and purchasers are struggling to afford coverage of GLP-1s to treat obesity for their employees and dependents. To provide access to these drugs for those most in need, many […]

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]]> Finding Common Ground: Addressing PBM Issues and ERISA Tensions https://www.nationalalliancehealth.org/news/finding-common-ground-addressing-pbm-issues-and-erisa-tensions/ Wed, 11 Sep 2024 00:05:34 +0000 https://www.nationalalliancehealth.org/?p=17325 The post Finding Common Ground: Addressing PBM Issues and ERISA Tensions appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Time to Act: Understanding PBM Practices Enables Employers to Ignite Change https://www.nationalalliancehealth.org/resources/time-to-act-understanding-pbm-practices-enables-employers-to-ignite-change/ Tue, 27 Aug 2024 15:13:16 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=17168 For decades the PBM industry has been plagued by misalignment, opacity, and consolidation. Rather than improving drug value and creating an efficient marketplace, the industry has fueled a flawed model […]

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]]> The fox guarding the henhouse: Addressing PBM industry misalignment and 340B https://www.nationalalliancehealth.org/news/the-fox-guarding-the-henhouse-addressing-pbm-industry-misalignment-and-340b/ Mon, 26 Aug 2024 20:44:02 +0000 https://www.nationalalliancehealth.org/?p=17189 The post The fox guarding the henhouse: Addressing PBM industry misalignment and 340B appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employers feel the side effects of drugmaker control over Wegovy, Ozempic costs https://www.nationalalliancehealth.org/news/employers-feel-the-side-effects-of-drugmaker-control-over-wegovy-ozempic-costs/ Thu, 18 Apr 2024 18:05:23 +0000 https://www.nationalalliancehealth.org/?p=16194 The post Employers feel the side effects of drugmaker control over Wegovy, Ozempic costs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Upended: Can PBM Transparency Succeed? https://www.nationalalliancehealth.org/news/upended-can-pbm-transparency-succeed/ Wed, 06 Mar 2024 22:48:29 +0000 https://www.nationalalliancehealth.org/?p=16012 The post Upended: Can PBM Transparency Succeed? appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance President and CEO Shawn Gremminger Discusses 2024 Initiatives, PBMs, and Health Equity https://www.nationalalliancehealth.org/news/national-alliance-president-and-ceo-shawn-gremminger-discusses-2024-initiatives-pbms-and-health-equity/ Sat, 03 Feb 2024 00:27:44 +0000 https://www.nationalalliancehealth.org/?p=15107 The post National Alliance President and CEO Shawn Gremminger Discusses 2024 Initiatives, PBMs, and Health Equity appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Six Reasons Why It’s So Hard to Get Your Weight-Loss Drugs https://www.nationalalliancehealth.org/news/six-reasons-why-its-so-hard-to-get-your-weight-loss-drugs/ Sat, 03 Feb 2024 00:24:55 +0000 https://www.nationalalliancehealth.org/?p=15103 The post Six Reasons Why It’s So Hard to Get Your Weight-Loss Drugs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Obesity, Women’s Health, Health Equity Among Top Benefit Focuses for Employers in 2024 https://www.nationalalliancehealth.org/news/obesity-womens-health-health-equity-among-top-benefit-focuses-for-employers-in-2024/ Tue, 19 Dec 2023 14:20:59 +0000 https://www.nationalalliancehealth.org/?p=15000 The post Obesity, Women’s Health, Health Equity Among Top Benefit Focuses for Employers in 2024 appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employer Survey Finds High-Cost Claims and Hospital Prices are Major Concern https://www.nationalalliancehealth.org/news/employer-survey-finds-high-cost-claims-and-hospital-prices-are-major-concern/ Wed, 13 Dec 2023 23:09:45 +0000 https://www.nationalalliancehealth.org/?p=14955 The post Employer Survey Finds High-Cost Claims and Hospital Prices are Major Concern appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Report: Less than Half of Employers Are Confident In Integrity of Hospitals, PBMs https://www.nationalalliancehealth.org/news/report-less-than-half-of-employers-are-confident-in-integrity-of-hospitals-pbms/ Wed, 13 Dec 2023 16:42:09 +0000 https://www.nationalalliancehealth.org/?p=14962 The post Report: Less than Half of Employers Are Confident In Integrity of Hospitals, PBMs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Survey Finds More than Half of Employers Not Confident in PBM Practices https://www.nationalalliancehealth.org/news/survey-finds-more-than-half-of-employers-not-confident-in-pbm-practices/ Wed, 13 Dec 2023 16:35:18 +0000 https://www.nationalalliancehealth.org/?p=14959 The post Survey Finds More than Half of Employers Not Confident in PBM Practices appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Lack of Confidence in Service Providers, Healthcare Affordability Among Top Employer Concerns per National Alliance Survey https://www.nationalalliancehealth.org/news/lack-of-confidence-in-service-providers-healthcare-affordability-among-top-employer-concerns-per-national-alliance-survey/ Wed, 13 Dec 2023 14:53:19 +0000 https://www.nationalalliancehealth.org/?p=14683 Pulse of the Purchaser study also finds obesity, women’s health and health equity are growing areas of benefits focus for employers in 2024 and beyond WASHINGTON – DECEMBER 13, 2023 […]

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]]> Navigating Work With PBMs: Negotiations, Misalignments, and Drug Costs https://www.nationalalliancehealth.org/news/navigating-work-with-pbms-negotiations-misalignments-and-drug-costs/ Thu, 07 Dec 2023 16:26:48 +0000 https://www.nationalalliancehealth.org/?p=14678 The post Navigating Work With PBMs: Negotiations, Misalignments, and Drug Costs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Cigna-Humana Deal Would Complicate Drug Pricing for Health Plans https://www.nationalalliancehealth.org/news/cigna-humana-deal-would-complicate-drug-pricing-for-health-plans/ Thu, 07 Dec 2023 16:24:07 +0000 https://www.nationalalliancehealth.org/?p=14675 The post Cigna-Humana Deal Would Complicate Drug Pricing for Health Plans appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> CVS drug pricing overhaul signals a broader industry shift https://www.nationalalliancehealth.org/news/cvs-drug-pricing-overhaul-signals-a-broader-industry-shift/ Wed, 06 Dec 2023 20:08:42 +0000 https://www.nationalalliancehealth.org/?p=14647 The post CVS drug pricing overhaul signals a broader industry shift appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Foot Locker, Teamsters Show Their Drug-Benefit Managers the Door https://www.nationalalliancehealth.org/news/foot-locker-teamsters-show-their-drug-benefit-managers-the-door/ Tue, 21 Nov 2023 21:07:45 +0000 https://www.nationalalliancehealth.org/?p=14672 The post Foot Locker, Teamsters Show Their Drug-Benefit Managers the Door appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employer Coalition Urges Congress to Pass PBM Reforms This Year https://www.nationalalliancehealth.org/news/employer-coalition-urges-congress-to-pass-pbm-reforms-this-year/ Thu, 16 Nov 2023 13:25:00 +0000 https://www.nationalalliancehealth.org/?p=14582 EmployersRx and allies urge Congress to continue its momentum to eliminate PBM business practices driving up the cost of drugs for American businesses and workers OAKLAND, CA and WASHINGTON – […]

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]]> Blue Shield of California is promising a simpler, cheaper pharmacy benefits model. Can it deliver? https://www.nationalalliancehealth.org/news/blue-shield-of-california-is-promising-a-simpler-cheaper-pharmacy-benefits-model-can-it-deliver/ Wed, 25 Oct 2023 12:41:00 +0000 https://www.nationalalliancehealth.org/?p=14498 The post Blue Shield of California is promising a simpler, cheaper pharmacy benefits model. Can it deliver? appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Facing higher health costs, employers get tough https://www.nationalalliancehealth.org/news/facing-higher-health-costs-employers-get-tough/ Tue, 19 Sep 2023 14:17:44 +0000 https://www.nationalalliancehealth.org/?p=14310 The post Facing higher health costs, employers get tough appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Save billions or stick with Humira? Drug brokers steer Americans to the costly choice https://www.nationalalliancehealth.org/news/save-billions-or-stick-with-humira-drug-brokers-steer-americans-to-the-costly-choice/ Mon, 18 Sep 2023 19:01:43 +0000 https://www.nationalalliancehealth.org/?p=14284 The post Save billions or stick with Humira? Drug brokers steer Americans to the costly choice appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employers Point to Higher Costs After Medicare Drug Negotiations https://www.nationalalliancehealth.org/news/employers-point-to-higher-costs-after-medicare-drug-negotiations/ Tue, 12 Sep 2023 18:56:05 +0000 https://www.nationalalliancehealth.org/?p=14276 The post Employers Point to Higher Costs After Medicare Drug Negotiations appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Michael Thompson on Employer-PBM Relations and What It Will Take to Change Them https://www.nationalalliancehealth.org/news/michael-thompson-on-employer-pbm-relations-and-what-it-will-take-to-change-them/ Tue, 12 Sep 2023 18:54:01 +0000 https://www.nationalalliancehealth.org/?p=14273 The post Michael Thompson on Employer-PBM Relations and What It Will Take to Change Them appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance Guideline Identifies Key PBM Concerns for Health Plan Purchasers https://www.nationalalliancehealth.org/news/national-alliance-guideline-identifies-key-pbm-concerns-for-health-plan-purchasers/ Thu, 07 Sep 2023 18:58:16 +0000 https://www.nationalalliancehealth.org/?p=14281 The post National Alliance Guideline Identifies Key PBM Concerns for Health Plan Purchasers appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> The Pharmacy-Benefit Sector Just Took a Hit https://www.nationalalliancehealth.org/news/the-pharmacy-benefit-sector-just-took-a-hit/ Fri, 18 Aug 2023 21:52:24 +0000 https://www.nationalalliancehealth.org/?p=14220 The post The Pharmacy-Benefit Sector Just Took a Hit appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Employer Group Issues Guide for Contracting with PBMs https://www.nationalalliancehealth.org/news/employer-group-issues-guide-for-contracting-with-pbms/ Wed, 28 Jun 2023 18:18:48 +0000 https://www.nationalalliancehealth.org/?p=14263 The post Employer Group Issues Guide for Contracting with PBMs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> New playbook arms employers with blueprint for navigating PBM relationships https://www.nationalalliancehealth.org/news/new-playbook-arms-employers-with-blueprint-for-navigating-pbm-relationships/ Tue, 27 Jun 2023 18:29:00 +0000 https://www.nationalalliancehealth.org/?p=14269 The post New playbook arms employers with blueprint for navigating PBM relationships appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> National Alliance of Healthcare Purchaser Coalitions Develops Playbook for Managing Drug Costs https://www.nationalalliancehealth.org/news/national-alliance-of-healthcare-purchaser-coalitions-develops-playbook-for-managing-drug-costs/ Tue, 27 Jun 2023 18:23:00 +0000 https://www.nationalalliancehealth.org/?p=14266 The post National Alliance of Healthcare Purchaser Coalitions Develops Playbook for Managing Drug Costs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Frustrated Employers Outline Ways to Work With PBMs https://www.nationalalliancehealth.org/news/frustrated-employers-outline-ways-to-work-with-pbms/ Mon, 26 Jun 2023 19:18:00 +0000 https://www.nationalalliancehealth.org/?p=14293 The post Frustrated Employers Outline Ways to Work With PBMs appeared first on National Alliance of Healthcare Purchaser Coalitions.

]]> Best Practices for Health Plans and PBMs https://www.nationalalliancehealth.org/resources/best-practices-for-health-plans-and-pbms/ Wed, 17 Nov 2021 16:32:00 +0000 https://www.nationalalliancehealth.org/?post_type=resources&p=8727 The six finalists for the eValue8 Innovations Award will present the important work they have undertaken to drive forward health plan and PBM value-based care. Webinar recorded 11/15/2021

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