Topics:

Pharmacy Benefit Manager
Self-Funded Health Plan
Misaligned Incentives
Rebates
Formulary Waste
Formulary Design
Specialty Drugs
Clinical Programs
Performance Guarantees

In this episode, Michael introduces you to Mindi Fynke, President and CEO of Employee Health Insurance Management (EHiM). Join us as we discuss EHiM’s unique service-oriented PBM model and how they can effectively lower an employer-sponsored health plan’s drug spend.
Here’s a glance at what we discuss in this episode:

Mindi Fynke’s clinical experience and why she founded EHiM  
How rebates from drug manufacturers are intended to move market share and the act of taking rebates from drug manufacturers can be a misaligned incentive and contribute to increased healthcare costs
How EHiM seek to address pharmacy waste in an employer’s sponsored health plan’s drug spend with custom formulary design and clinical programs for each client’s unique demographics and claims
The conflict of interest that may exist when PBM’s own their own specialty pharmacies
EHIM’s book of business Specialty Trend is 6% relative to National Specialty Trend of 18%
How EHiM implements a unique solution of clinical interventions and negotiations with drug manufacturers to help employers manage their specialty pharmacy trend well below the national average
The difference between a traditional PBM’s customer service and EHiM’s patient advocacy model
How EHiM competes in the market without receiving or offering drug manufacturer rebates, driving savings of 20% -30% in overall drug spend
Examples of misaligned incentives in formulary design that can be costly to the employer and how EHiM can customize many components in Pharmacy Benefit Administration (Network, Formulary, Plan Design, Clinical Programs) to “move market share” towards lower cost alternatives
EHiM’s transparent fee structure options
EHiM’s ability to provide performance guarantees based on actual employer net spend vs “discount guarantees”
EHiM’s new and exciting technology capabilities with state of the art adjudication system
The difference between partnering with a smaller pharmacy benefit manager compared to a larger PBM
EHiM’s website and contact...

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