Rebate sharing, exclusion lists, and application of QALY measures are all approaches that PBMs are likely to ramp up in 2020, predicts Todd Edgar. Todd examines the impact of new formulary guidelines and makes some predictions on other trends likely in the coming year.
Dan Danielson examines the incentives for regional plans offering exclusion formularies, and how the next iteration of exclusions is designed to keep plans competitive and relevant in an environment rich with acquisitions and mergers.
What are the key considerations and emerging trends for IDNs as they work with their plans on 2020 formulary decision-making and selections? Elizabeth Oyekan breaks this down and focuses on the pressure points.
Andrew Cournoyer outlines recent Medicare regulatory changes likely to influence formulary offerings and emphasizes the trend toward patient affordability and drug pricing in 2020 formulary design.