We’ve all heard it. “We move 100% of all rebates on to you” says your favourite PBM.
The reality is PBMs usually e book rebates into completely different accounting silos as a way to retain a portion whereas gifting again what stays to self-funded plan sponsors. One silo could also be labeled “Rebates”, one other is labeled “Different.” The “Different” silo has sub-silos every with it’s personal label, giving rise to an advanced bookkeeping maze with tax favored offshore tentacles spreading past home scrutiny.
However let’s assume in a weak second of deep reflection PBMs return 100% of rebates as they are saying they do. If that’s true, then why inflate drug costs by the rebate quantity within the first place solely to provide it again later? It doesn’t make sense.
That is the one nation on the planet the place PBMs exist and the place well being plans are paying the best costs for medication than of any nation this aspect of Pluto. Is that a sign of financial stupidity?
