Scott Martin

The Anthem lawsuit against Express Scripts should raise a key question: Is my employer in the same boat as Anthem?

As drug prices show, our healthcare system is broken by design – not necessity – and virtually everyone in the chain lacks the incentive to fix it.

The majority of large employers today do not have the necessary tools at their disposal to decipher and use to their advantage the key relationship between the actual Prescription Benefit Manager (PBM) claims pricing received and the contract language that supports those claims.|