The good news is that with effective chronic disease management and case management programs, employers can both improve individuals’ health and significantly reduce the frequency and severity of large claims. In this article, we’ll explore how investing in these proactive care management strategies can pay off – keeping your employees healthier and your stop-loss claims (or fully insured premiums) in check.

Today, we’re pulling back the curtain on PBMs and explaining the difference between traditional and pass-through PBM models. Most importantly, we’ll cover why it matters for employers and plan sponsors to push for transparency and a pass-through approach in pharmacy benefits.