By Miriam Paramore, Founder & CEO of RxUtility There's never been more "transparency" in prescription drug pricing – and in some ways, plan sponsors have never been more confused. That's not a coincidence. After 35 years in healthcare technology and drug pricing policy, I've watched every transparency initiative promise to finally make the system legible for employers. And each time, the data got bigger, the reports got longer, and the fundamental question got harder to a

Modern pharmacy benefits are sophisticated by design. PBMs manage enormous networks, negotiate rebates, build formularies, and administer claims for millions of members across thousands of plan designs. It's a complex, high-volume operation — and while some may think it works, that kind of complexity creates blind spots. In pharmacy benefits, those blind spots tend to show up in the same places: the gap between what a member pays at the counter and what they could pay with a

Every benefits vendor promises a seamless implementation. Few deliver. If you've been in HR and benefits long enough, you know the drill: the sales experience is polished, the demos are impressive, and somewhere between contract signing and go-live, things get complicated. Suddenly you're the project manager for a solution you just bought. Meetings multiply. Decisions pile up. Your team absorbs the lift. Pharmacy benefits is already one of the most complex categories you