Prescription for Better Access

Specialty drug benefit design isn't just one decision — it triggers a domino effect impacting employer and health plan costs, patient access, care delivery and patient cost-sharing. In this episode, we unpack PSG’s latest research on how employers and health plans are rethinking specialty strategies amid rising pressure: cost management as a top priority, movement toward rebate alternatives, shifting site of care models, and evolving approaches to affordability and utilization management. Our guests break down where the biggest shifts are happening, what’s still missing, and how smarter benefit design can create better outcomes across the healthcare system.

• PSG (Pharmaceutical Strategies Group)
• 2025 Trends in Specialty Drug Benefits Report
• Specialty Drugs
• Drug Utilization
• PBM (Pharmacy Benefit Manager)
• Copay Assistance (Maximizers & Accumulators)
• Drug Rebates
• Drug “Carve Outs”
• Value-Based Agreements
• Utilization Management
• Step Therapy
• Biosimilars
• Site-of-Care

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