Contracting for Success: Key Legal Considerations When Segmenting Pharmacy Benefit Programs
In this episode of The Wiley Contracting Chronicles, co-hosts Jordan Ross and Brooke DeLoatch take a deeper dive into program segmentation within pharmacy benefit programs. After outlining the concept in their previous episode, they now explore the contractual implications that follow a health plan’s decision to segment services among multiple PBMs or service providers. Throughout the episode, they stress one essential takeaway: involve legal counsel early and often to lay the groundwork for a smooth and strategic transition to a segmented model.
18 Mar 2025
Pharmacy Benefit Segmentation: Emerging Models for Health Plans
In this episode of The Wiley Contracting Chronicles, hosts Jordan Ross and Brooke DeLoatch discuss the growing trend of pharmacy benefit segmentation among health plans. They outline three emerging models identified at Wiley: Product Service Disaggregation, Program Segmentation, and Industry Disruption—each offering varying levels of complexity and control. The hosts highlight key considerations for implementing these models, including resource commitment, clear contracting terms, and ensuring service provider capabilities. With careful planning and strategic contract management, health plans can leverage segmentation to foster competition, improve efficiency, and lower drug costs.
15 Dec 2024
Transforming PBM Contracting: The Wiley Approach
Wiley's Jordan Ross and Brooke DeLoatch share how their innovative PBM contracting process drives better pricing, transparency, and efficiency through meaningful negotiations.
Reach and audience
Public platform figures. Ratings count people who left a rating, not total listeners.
Apple Podcasts (US)
5.0 / 5
4 ratings
Podcast Authority Score: 14 / 100
A composite of feed quality, social presence, YouTube performance and engagement. Read the methodology.
Quality
16
Social presence
0
YouTube
0
Engagement
32
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