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Mitigating Fiduciary Risk in PBM Agreements
Fulfilling fiduciary responsibilities is a critical priority for plan sponsors. With increasing regulatory scrutiny surrounding Pharmacy Benefit Managers (PBMs) and new state and federal legislation targeting pricing transparency, rebate structures, and spread pricing, ensuring that PBM agreements align with fiduciary duties has never been more important. At PBM NEGOTIATOR™, we specialize in fiduciary risk mitigation, helping plan sponsors navigate these complexities and safeguard their interests through comprehensive contract oversight and proactive compliance strategies.
The Importance of Fiduciary Risk Management
Plan sponsors face significant liabilities if their PBM agreements fail to meet fiduciary standards. Opaque pricing, hidden fees, and misaligned rebate practices can expose organizations to regulatory penalties, legal challenges, and reputational risks. Our Fiduciary Risk Mitigation service is designed to:
Our collective experience delivers consistent results.
Relevant matters and negotiations, prepared for all the possibilities.
PBM NEGOTIATOR™’s approach to fiduciary risk mitigation is both comprehensive and proactive. We understand that plan sponsors must act in the best interests of their participants, and our services are designed to support this responsibility effectively. Our process includes:
Ensuring Fiduciary Peace of Mind
One of our recent clients, a large employer-sponsored health plan, faced significant fiduciary risk exposure due to ambiguous PBM contract language and non-transparent pricing structures. Through our Fiduciary Risk Mitigation service, we identified contract provisions that required renegotiation and guided the client through the contract update process. The result was a revised PBM agreement that not only aligned with new transparency laws but also secured stronger participant protections and reduced fiduciary liability.
Key Benefits of Our Fiduciary Risk Mitigation Service
By partnering with PBM NEGOTIATOR™, plan sponsors gain:
Client-Centric Fiduciary Support
At PBM NEGOTIATOR™, we prioritize your fiduciary responsibilities. Our team is dedicated to delivering personalized service that aligns with your organization’s strategic and financial goals. From the initial contract assessment to ongoing compliance support, we provide the expertise and resources needed to effectively manage fiduciary risks in PBM agreements.
Partner with PBM Negotiator for Fiduciary Assurance
Fiduciary risk mitigation isn’t just about checking the compliance box—it’s about establishing a secure framework that protects your organization’s long-term success. With PBM NEGOTIATOR™’s comprehensive approach, you can confidently manage PBM agreements and fulfill your fiduciary responsibilities with greater assurance.
Contact PBM NEGOTIATOR™ today to learn more about how our Fiduciary Risk Mitigation service can strengthen your pharmacy benefits strategy and protect your role as a plan sponsor.