
CMS transparency rules and AI could bring “Expedia-like” drug price comparisons for consumers, but payer compliance to transparency rules remains low.
Shawna Ricker, PharmD, Clinical Pharmacist Consultant, Clinical Client Strategy, Highmark, Inc., who co-presented at this year's AMCP Nexus conference in Orlando, shares some best practices for health plans that work with self-insured employers.
Shawna Ricker, PharmD, Clinical Pharmacist Consultant, Clinical Client Strategy, Highmark, Inc., who co-presented at this year's AMCP Nexus conference in Orlando, shares some best practices for health plans that work with self-insured employers — some being management in formulary utilization, network and specialty drug pharmacy, copay programs and patient out-of-pocket cost solutions.
Ricker expressed how some of these examples are used within Highmark to address specialty drug spend.






