Cash-Strapped States Eye Reverse-Auction PBM Procurement

With the economic fallout from COVID-19 driving billions of dollars in projected state budget shortfalls over the next few years, officials around the country are taking a hard look at how to cut costs. Against that backdrop, more states may consider replicating a concept pioneered by New Jersey: a reverse-auction PBM procurement model.

Trish Riley, executive director of the National Academy for State Health Policy (NASHP), tells AIS Health that states “definitely are” looking at the idea more closely, “particularly as the budgets get tighter in state governments.”

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Leslie Small

Leslie Small

Leslie has been working in journalism since 2009 and reporting on the health care industry since 2014. She has covered the many ups and downs of the Affordable Care Act exchanges, the failed health insurer mega-mergers, and hundreds of other storylines spanning subjects such as Medicaid managed care, Medicare Advantage, employer-sponsored insurance, and prescription drug coverage. As the managing editor of Health Plan Weekly and Radar on Drug Benefits, she writes and edits for both publications while overseeing a small team of reporters who also focus on the managed care sector. Before joining AIS Health, she was a senior editor for the e-newsletter Fierce Health Payer, and she started her career as a copy editor at multiple local newspapers. She graduated with a dual degree in journalism and political science from Penn State University.

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