Making Sense of the Confusing PBM World with Brian Shonat of Goodroot
Brian is an AVP of Business Development at Goodroot.
"Goodroot is a community of companies committed to reinventing healthcare one system at a time."
In this episode, we specifically focus on two of the solutions that Brian represents:
1. AlignRx, which is their pharmacy consulting arm for larger employers who need individualized expertise for their unique situations.
2. CoeoRx, which has prenegotiated Pharmacy benefit contracts and custom pharmacy benefit solutions for employers that offers "choice, leverage, and savings".
Interestingly, Brian has a condition known as hemophilia, a medical condition in which the blood's ability to clot is severely reduced, causing the sufferer to bleed severely from even a slight injury.
Anyone who operates in the world of self-funding knows how expensive this condition can be to an employer, but it was incredibly interesting to hear the human side directly from Brian.
The crux of this episode focused on the world of PBMs, where we discuss everything from PBM contracts, to spread pricing, price transparency, claims repricing, specialty medications, and so much more!
Chapters:
1:25 Getting to Know Brian
8:45 Life as a Hemophiliac
19:00 What is Goodroot
27:20 Sifting Through the PBM Noise
34:45 PBM Best Practices for Employers
39:52 What Data is Required
44:13 Specialty Meds
48:25 Alternate Sourcing of Meds
54:29 Pharmacogenomics
58:30 Closing Thoughts
