Episode 3: Understanding PBMs
Pharmacy Benefit Managers (PBMs) have become one of the most powerful forces in healthcare, yet many employers are still in the dark about how they really operate. In the latest episode of the Generous Benefits Podcast, Amanda Brummitt brings together Alex Dampf and Bret Brummitt for a candid and insightful conversation about the role PBMs play in employer-sponsored health plans.
Alex and Bret are experienced consultants with strong opinions, real-world knowledge, and a shared passion for helping employers navigate complexity. They also happen to be competitors who respect each other’s work, which adds both humor and honesty to the discussion.
This episode covers the basics of what PBMs do, how they make money, and the potential conflicts of interest that can arise when cost containment efforts prioritize profits over people. It also dives deep into concepts like spread pricing, rebate structures, and transparent PBM models that are challenging the traditional players.
For benefits leaders, CFOs, and HR professionals, this episode offers clear guidance on:
- What to look for in a PBM contract
- How to assess rebate and pricing transparency
- The impact of vertical integration on drug costs
- When boutique PBMs or pass-through models make sense
- How to evaluate plan performance using year-over-year data
If you're responsible for making decisions about employee healthcare, this episode is packed with insights that will help you ask better questions, spot red flags, and make more informed choices.
Watch the episode here:
Watch to the full episode in a new browser window here: https://generousbenefits.podbean.com/e/understanding-pbms-with-alex-dampf-and-bret-brummitt/
