Pharmacy Benefit Consultants has worked - or is currently working - for the following entities, among others, on the following projects:
A Medicaid Insurance Company retained Pharmacy Benefit Consultants to draft an entirely different form of contract, and to negotiate one-on-one with its existing PBM. A quick audit approximately nine months after the new contract’s inception reflected the new contract had decreased the insurer’s costs by (a) more than 7% (without taking into account the impact of drug manufacturers’ increased prices), and (b) more than 14% (if the impact of drug manufacturers’ increased prices was eliminated). At the end of the first year of the contract, the insurance company asked Pharmacy Benefit Consultants to assist the company in taking advantage of contract provisions to renegotiate and improve contract pricing terms and guarantees.
A Fortune 100 Company retained Pharmacy Benefit Consultants’ Linda Cahn to analyze its current PBM contract’s weaknesses, construct a targeted audit, and thereafter conduct a RFP to obtain a better PBM contract.
A Union Consortium – representing almost 300,000 members – conducted a PBM RFP and retained Pharmacy Benefit Consultants to negotiate and draft a new PBM contract at its conclusion. Two and a half years later, the consortium again retained Pharmacy Benefit Consultants to negotiate an amendment to the contract, and when the PBM refused to provide improved terms, to conduct a full-fledged RFP. Thereafter, the consortium retained Pharmacy Benefit Consultants to audit its new contract and to insist upon compensation for the PBM’s failure to satisfy the airtight contract terms that had been negotiated.
A Mid-West Coal Company retained Pharmacy Benefit Consultants to conduct a PBM RFP – drafting and negotiating an entirely different form of contract that would enable the Coal Company to use on-site Wellness Centers to dispense and monitor prescription medication
A Mid-West Business Coalition retained Pharmacy Benefit Consultants to advise the Coalition about weaknesses in its current PBM contract, make recommendations concerning the scope of an upcoming audit, and conduct a RFP to locate a PBM auditor.
A National Energy Lab – operating under a Department of Energy Contract – began a RFP using another consulting firm and, realizing the firm was unable to draft and negotiate a new PBM contract, thereafter retained Pharmacy Benefit Consultants to take over and conclude the RFP.
A Mid-West Insurance Company retained Pharmacy Benefit Consultant’s President, Linda Cahn, to conduct litigation against the insurer’s former PBM concerning wrongful and inaccurate generic pricing and rebate practices. After prosecuting the case for more than a year – and extracting tens of thousands of documents reflecting questionable practices – the litigation was settled, resulting in a significant payment to the insurance company.
A large policemen’s union and major transit workers group each retained Pharmacy Benefit Consultants to conduct RFPs. The former retained its existing PBM, but dramatically improved its contract. The latter replaced its existing PBM and did the same.
Cover Stories in Prominent Benefits Magazine: Two issues of the International Foundation of Employee Benefit Plans’ Benefits & Compensation Digest have carried cover stories written by Pharmacy Benefit Consultant’s Linda Cahn. The first Cover Story was captioned “Ten Ways To Navigate An ‘Airtight’ PBM Contract”. The second was captioned “How To Conduct A Successful PBM RFP.” The Foundation’s Benefits & Compensation Digest has carried two additional stories, respectively captioned: “PBMs’ MAC Mousetraps” and “Specialty Drugs – So Special It’s Time To Control Their Costs”.
Featured Articles In Leading Magazine: The highly regarded magazine, Managed Care, has carried 5 stories written by Pharmacy Benefit Consultant’s Linda Cahn. The stories are captioned: (i) “How to Dramatically Decrease Your MCO’s Rx Coverage Costs”; (ii) “Don’t Get Caught By PBMs’ MAC Mousetraps”; (iii) “Don’t Get Trapped By PBMs’ Rebate Labeling Games”; (iv) “Brand Drug – Generic Drug”; and (v) “Don’t Pay Too Much for Generic Fills”.
Cover Story In Employee Benefit Adviser: In a cover story captioned “Seeing Clearly”, Employee Benefit Advisor described Linda Cahn’s leading role in trying to end consulting firms’ Conflicts of Interest.
Recurring Citations As Industry Expert: A leading journal — Drug Benefit News – has repeatedly quoted and relied on Pharmacy Benefit Consultants’ Linda Cahn as an industry expert, including in the following articles: (i) ”PBMs Allegedly Manipulate Definition of ‘Brand’ and ‘Generic’ Rx at Payers’ Expense”; (ii) “PBM Auditing Increases As Rx Costs Rise, But Critics Allege PBMs Are Foiling Audits”; (iii) “PBMs Tout Their ‘Transparency’, but Model Doesn’t Always Lower Clients’ Drug Costs”.