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Beating the spread: Understanding and eliminating spread pricing in pharmacy benefit plans
Terrance Killilea, vice president of IHM-clinical and fiscal integration, and Scott Haas (pictured), vice president of integrated health care metrics, both at Wells Fargo Insurance Services, talk with EBN Associate Editor Lisa Gillespie about the pervasive issue of spread pricing — a little-understood pharmacy benefit manager practice that pays a pharmacy a minor amount for a prescription, but charges the employer and policyholder a much higher price for that same drug. This higher amount is reflected in both the copay and billing to the employer. In an ever-increasing consumer-driven health plan market, the cost is passed on to the employee completely. Killilea and Haas go over why this is a problem, and what employers can do about it.
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