Asembia 2021: Steve Peskin of Horizon BCBS of NJ Talks Value-Based Contracting Between Payers & Pharma Companies

Healthcare hasn't been a priority of the second Trump administration so far, panelists at the Asembia agreed. Medicaid may loom large, though, as the administration and congressional Republicans look for ways to slash government spending as a way of offsetting major tax cuts.

The margins are small, and the services they provide must be “high touch.” 340B participation and cost-plus pricing are floated as tactics the pharmacies might use to improve their economics.

The splashy meeting with more than 7,000 people in attendance reflects the growth of the specialty pharmacy sector.

Health plans that use Optum Rx as their pharmacy benefit manager (PBM) will be allowed to tier their coverage of GLP-1s and still receive rebates under an agreement the PBM has reached with the manufacturers, says the PBM president. Optum officials said later that the negotiations were still ongoing,

Earlier this week at the 2024 Asembia Specialty Pharmacy Summit in Las Vegas, Managed Healthcare Executive editors spoke with Bill McElnea, vice president of population health at Shields Health Solutions, about specialty pharmacies reducing costs for patients.