Logical Analysis Report

Key Focus

  • Foot Locker hired a smaller pharmacy benefit manager, Navitus Health Solutions of Madison, Wis., which tells employers it passes through to them 100% of the drug rebates it negotiates. . . Navitus also does more to prioritize the use of low-cost prescriptions, Gulbrandsen said ...
  • Capital Rx also agreed to pass through all the rebates it negotiates, said Maria Scheeler, executive director for the Teamsters fund, which provides drug benefits to 16,000 people. ...


More about Logical Analysis, please click here

High Level Topics

  • EMPLOYERS
  • DRUG
  • SPENDING
  • REBATES
  • High Level Abstractions

  • EMPLOYERS(7, 0th Order)
  • ( EMPLOYERS )(7, 0th Order)  top
  • ( EMPLOYERS, REBATES )(5, 1st Order)  top
  • ( EMPLOYERS, REBATES, PBM )(1, 2nd Order)  top
  • ( EMPLOYERS, REBATES, DRUG )(2, 2nd Order)  top
  • ( EMPLOYERS, REBATES, TEAMSTERS )(1, 2nd Order)  top
  • ( EMPLOYERS, REBATES, PRIORITIZE )(1, 2nd Order)  top
  • ( EMPLOYERS, REBATES, PRESCRIPTIONS )(1, 2nd Order)  top
  • ( EMPLOYERS, REBATES, NAVITUS_HEALTH_SOLUTIONS )(1, 2nd Order)  top
  • ( EMPLOYERS, REBATES, NAVITUS )(1, 2nd Order)  top
  • ( EMPLOYERS, REBATES, MARIA_SCHEELER )(1, 2nd Order)  top
  • ( EMPLOYERS, REBATES, MANAGER )(1, 2nd Order)  top
  • ( EMPLOYERS, REBATES, LOW-COST )(1, 2nd Order)  top
  • ( EMPLOYERS, REBATES, LAWYER )(1, 2nd Order)  top
  • ( EMPLOYERS, REBATES, HEALTHCARE )(1, 2nd Order)  top
  • ( EMPLOYERS, DRUG )(2, 1st Order)  top
  • ( EMPLOYERS, PBM )(1, 1st Order)  top
  • ( EMPLOYERS, HEALTH )(2, 1st Order)  top
  • ( EMPLOYERS, EXECUTIVE )(2, 1st Order)  top
  • ( EMPLOYERS, UNDER-THE-RADAR )(1, 1st Order)  top
  • ( EMPLOYERS, TEAMSTERS )(1, 1st Order)  top
  • ( EMPLOYERS, SPENDING )(1, 1st Order)  top
  • ( EMPLOYERS, REVENUE )(1, 1st Order)  top
  • ( EMPLOYERS, RETAIL )(1, 1st Order)  top
  • ( EMPLOYERS, PRIORITIZE )(1, 1st Order)  top
  • ( EMPLOYERS, PRESCRIPTIONS )(1, 1st Order)  top
  • DRUG(5, 0th Order)
  • ( DRUG )(5, 0th Order)  top
  • ( DRUG, REBATES )(2, 1st Order)  top
  • ( DRUG, TEAMSTERS )(1, 1st Order)  top
  • ( DRUG, SPENDING )(3, 1st Order)  top
  • ( DRUG, SPENDING, RETAIL )(1, 2nd Order)  top
  • ( DRUG, SPENDING, INSURANCE )(1, 2nd Order)  top
  • ( DRUG, SPENDING, CMS )(1, 2nd Order)  top
  • ( DRUG, RETAIL )(1, 1st Order)  top
  • ( DRUG, PRIORITIZE )(1, 1st Order)  top
  • ( DRUG, PRESCRIPTIONS )(1, 1st Order)  top
  • ( DRUG, NAVITUS_HEALTH_SOLUTIONS )(1, 1st Order)  top
  • ( DRUG, NAVITUS )(1, 1st Order)  top
  • ( DRUG, MARIA_SCHEELER )(1, 1st Order)  top
  • ( DRUG, MANAGER )(1, 1st Order)  top
  • ( DRUG, LOW-COST )(1, 1st Order)  top
  • SPENDING(6, 0th Order)
  • ( SPENDING )(6, 0th Order)  top
  • ( SPENDING, RETAIL )(2, 1st Order)  top
  • ( SPENDING, DRUG-BENEFIT )(2, 1st Order)  top
  • ( SPENDING, UNITEDHEALTH_GROUP )(1, 1st Order)  top
  • ( SPENDING, UNDER-THE-RADAR )(1, 1st Order)  top
  • ( SPENDING, TEAMSTERS )(1, 1st Order)  top
  • ( SPENDING, REUPPED )(1, 1st Order)  top
  • ( SPENDING, RETAILER )(1, 1st Order)  top
  • ( SPENDING, OPTUMRX )(2, 1st Order)  top
  • ( SPENDING, MEDICAID_SERVICES )(1, 1st Order)  top
  • ( SPENDING, MANAGER )(1, 1st Order)  top
  • REBATES(5, 0th Order)
  • ( REBATES )(5, 0th Order)  top
  • ( REBATES, PBM )(1, 1st Order)  top
  • ( REBATES, WELFARE_TRUST_FUND )(1, 1st Order)  top
  • ( REBATES, VENTURE )(1, 1st Order)  top
  • ( REBATES, TEAMSTERS_HEALTH )(1, 1st Order)  top
  • ( REBATES, TEAMSTERS )(1, 1st Order)  top
  • ( REBATES, SPENDING )(1, 1st Order)  top
  • ( REBATES, PRIORITIZE )(1, 1st Order)  top
  • ( REBATES, PRESCRIPTIONS )(1, 1st Order)  top
  • ( REBATES, PBMS )(1, 1st Order)  top
  • ( REBATES, OPTUMRX )(1, 1st Order)  top
  • ( REBATES, NAVITUS_HEALTH_SOLUTIONS )(1, 1st Order)  top
  • References

    • ( EMPLOYERS )  top
    • ( EMPLOYERS, REBATES )  top
    • ( EMPLOYERS, REBATES, PBM )  top
    •   topJonathan Levitt, a healthcare lawyer at the firm Frier Levitt, said one of his employer clients settled an arbitration case with a PBM over how much information it should provide about the rebates it negotiates and another is now in a similar arbitration with a PBM
    • ( EMPLOYERS, REBATES, DRUG )  top
    •   topFoot Locker hired a smaller pharmacy benefit manager, Navitus Health Solutions of Madison, Wis., which tells employers it passes through to them 100% of the drug rebates it negotiates. . . Navitus also does more to prioritize the use of low-cost prescriptions, Gulbrandsen said
    •   topCapital Rx also agreed to pass through all the rebates it negotiates, said Maria Scheeler, executive director for the Teamsters fund, which provides drug benefits to 16,000 people.
    • ( EMPLOYERS, REBATES, TEAMSTERS )  top
    •   topCapital Rx also agreed to pass through all the rebates it negotiates, said Maria Scheeler, executive director for the Teamsters fund, which provides drug benefits to 16,000 people.
    • ( EMPLOYERS, REBATES, PRIORITIZE )  top
    •   top... hired a smaller pharmacy benefit manager, Navitus Health Solutions of Madison, Wis., which tells employers it passes through to them 100% of the drug rebates it negotiates. . . Navitus also does more to prioritize the use of low-cost prescriptions, Gulbrandsen said.
    • ( EMPLOYERS, REBATES, PRESCRIPTIONS )  top
    •   top... manager, Navitus Health Solutions of Madison, Wis., which tells employers it passes through to them 100% of the drug rebates it negotiates. . . Navitus also does more to prioritize the use of low-cost prescriptions, Gulbrandsen said.
    • ( EMPLOYERS, REBATES, NAVITUS_HEALTH_SOLUTIONS )  top
    •   topFoot Locker hired a smaller pharmacy benefit manager, Navitus Health Solutions of Madison, Wis., which tells employers it passes through to them 100% of the drug rebates it negotiates
    • ( EMPLOYERS, REBATES, NAVITUS )  top
    •   top. . Navitus also does more to prioritize the use of low-cost prescriptions, Gulbrandsen said.
    • ( EMPLOYERS, REBATES, MARIA_SCHEELER )  top
    •   topCapital Rx also agreed to pass through all the rebates it negotiates, said Maria Scheeler, executive director for the Teamsters fund, which provides drug benefits to 16,000 people
    • ( EMPLOYERS, REBATES, MANAGER )  top
    •   topFoot Locker hired a smaller pharmacy benefit manager, Navitus Health Solutions of Madison, Wis., which tells employers it passes through to them 100% of the drug rebates it negotiates
    • ( EMPLOYERS, REBATES, LOW-COST )  top
    •   top... benefit manager, Navitus Health Solutions of Madison, Wis., which tells employers it passes through to them 100% of the drug rebates it negotiates. . . Navitus also does more to prioritize the use of low-cost prescriptions, Gulbrandsen said.
    • ( EMPLOYERS, REBATES, LAWYER )  top
    •   topJonathan Levitt, a healthcare lawyer at the firm Frier Levitt, said one of his employer clients settled an arbitration case with a PBM over how much information it should provide about the rebates it negotiates and another is now in a similar...
    • ( EMPLOYERS, REBATES, HEALTHCARE )  top
    •   topJonathan Levitt, a healthcare lawyer at the firm Frier Levitt, said one of his employer clients settled an arbitration case with a PBM over how much information it should provide about the rebates it negotiates and another is now...
    • ( EMPLOYERS, DRUG )  top
    •   topSee ( EMPLOYERS , REBATES , DRUG )
    •   topCapital Rx also agreed to pass through all the rebates it negotiates, said Maria Scheeler, executive director for the Teamsters fund, which provides drug benefits to 16,000 people. "Best decision ever," she said.. . CVS said it has earned the long-term trust of employers, unions and others by being transparent, working to lower drug costs and...
    • ( EMPLOYERS, PBM )  top
    •   topSee ( EMPLOYERS , REBATES , PBM )
    • ( EMPLOYERS, HEALTH )  top
    •   topEverything," said Michael Thompson, chief executive of the National Alliance of Healthcare Purchaser Coalitions, which represents employers, unions and other organizations buying private health plans.
    •   topCVS said it has earned the long-term trust of employers, unions and others by being transparent, working to lower drug costs and offering options for health plans that meet the needs of the customers.
    • ( EMPLOYERS, EXECUTIVE )  top
    •   topEverything," said Michael Thompson, chief executive of the National Alliance of Healthcare Purchaser Coalitions, which represents employers, unions and other organizations buying private health plans.
    •   topCapital Rx also agreed to pass through all the rebates it negotiates, said Maria Scheeler, executive director for the Teamsters fund, which provides drug benefits to 16,000 people. "Best decision ever," she said.
    • ( EMPLOYERS, UNDER-THE-RADAR )  top
    •   topPrime Therapeutics declined to comment.. . The frustrations of some employers and unions are starting to shake up the important but under-the-radar sector for controlling spending on retail prescription drugs, which the Centers for Medicare and Medicaid Services projects will reach $411.6 billion this year
    • ( EMPLOYERS, TEAMSTERS )  top
    •   topCapital Rx also agreed to pass through all the rebates it negotiates, said Maria Scheeler, executive director for the Teamsters fund, which provides drug benefits to 16,000 people. "Best decision ever," she said.
    • ( EMPLOYERS, SPENDING )  top
    •   topThe frustrations of some employers and unions are starting to shake up the important but under-the-radar sector for controlling spending on retail prescription drugs, which the Centers for Medicare and Medicaid Services projects will reach $411.6 billion this year
    • ( EMPLOYERS, REVENUE )  top
    •   topThe employers and unions say they can't know for sure because the drug-benefit managers aren't open about their fees and other sources of revenue.
    • ( EMPLOYERS, RETAIL )  top
    •   topThe frustrations of some employers and unions are starting to shake up the important but under-the-radar sector for controlling spending on retail prescription drugs, which the Centers for Medicare and Medicaid Services projects will reach $411.6 billion this year
    • ( EMPLOYERS, PRIORITIZE )  top
    •   topSee ( EMPLOYERS , REBATES , PRIORITIZE )
    • ( EMPLOYERS, PRESCRIPTIONS )  top
    •   topSee ( EMPLOYERS , REBATES , PRESCRIPTIONS )
    • ( DRUG )  top
    • ( DRUG, REBATES )  top
    •   topFoot Locker hired a smaller pharmacy benefit manager, Navitus Health Solutions of Madison, Wis., which tells employers it passes through to them 100% of the drug rebates it negotiates. . . Navitus also does more to prioritize the use of low-cost prescriptions, Gulbrandsen said
    •   topCapital Rx also agreed to pass through all the rebates it negotiates, said Maria Scheeler, executive director for the Teamsters fund, which provides drug benefits to 16,000 people
    • ( DRUG, TEAMSTERS )  top
    •   topSee ( EMPLOYERS , TEAMSTERS )
    • ( DRUG, SPENDING )  top
    • ( DRUG, SPENDING, RETAIL )  top
    •   top. Yet retail drug spending under private insurance has increased 3% each year, on average, for the last decade, according to CMS
    • ( DRUG, SPENDING, INSURANCE )  top
    •   top. Yet retail drug spending under private insurance has increased 3% each year, on average, for the last decade, according to CMS.
    • ( DRUG, SPENDING, CMS )  top
    •   topYet retail drug spending under private insurance has increased 3% each year, on average, for the last decade, according to CMS.
    • ( DRUG, RETAIL )  top
    •   topSee ( DRUG , SPENDING , RETAIL )
    • ( DRUG, PRIORITIZE )  top
    •   topSee ( EMPLOYERS , REBATES , PRIORITIZE )
    • ( DRUG, PRESCRIPTIONS )  top
    •   topSee ( EMPLOYERS , REBATES , PRESCRIPTIONS )
    • ( DRUG, NAVITUS_HEALTH_SOLUTIONS )  top
    •   topSee ( EMPLOYERS , REBATES , NAVITUS_HEALTH_SOLUTIONS )
    • ( DRUG, NAVITUS )  top
    •   topSee ( EMPLOYERS , REBATES , NAVITUS )
    • ( DRUG, MARIA_SCHEELER )  top
    •   topSee ( EMPLOYERS , REBATES , MARIA_SCHEELER )
    • ( DRUG, MANAGER )  top
    •   topSee ( EMPLOYERS , REBATES , MANAGER )
    • ( DRUG, LOW-COST )  top
    •   topSee ( EMPLOYERS , REBATES , LOW-COST )
    • ( SPENDING )  top
    • ( SPENDING, RETAIL )  top
    •   topSee ( EMPLOYERS , RETAIL )
    •   topThe PBMs can threaten to exclude a drug from the menu, or formulary, of medicines a health plan will cover if they don't get a sufficient rebate.. . Yet retail drug spending under private insurance has increased 3% each year, on average, for the last decade, according to CMS
    • ( SPENDING, DRUG-BENEFIT )  top
    •   top... with the firms they have used for years to help control their spending on prescription drugs - because their costs keep soaring.. . Footwear retailer Foot Locker dropped UnitedHealth Group's OptumRx drug-benefit manager last year, while a Teamsters fund in Philadelphia recently reupped with its replacement for CVS Health's Caremark
    •   topBig drug-benefit managers also said they win a lot of repeat business, which OptumRx said indicates customers like their choices and the information they get on their spending
    • ( SPENDING, UNITEDHEALTH_GROUP )  top
    •   top... and unions are getting fed up with the firms they have used for years to help control their spending on prescription drugs - because their costs keep soaring.. . Footwear retailer Foot Locker dropped UnitedHealth Group's OptumRx drug-benefit manager last year, while a Teamsters fund in Philadelphia recently reupped with its replacement for CVS Health's Caremark
    • ( SPENDING, UNDER-THE-RADAR )  top
    •   topSee ( EMPLOYERS , UNDER-THE-RADAR )
    • ( SPENDING, TEAMSTERS )  top
    •   topFootwear retailer Foot Locker dropped UnitedHealth Group's OptumRx drug-benefit manager last year, while a Teamsters fund in Philadelphia recently reupped with its replacement for CVS Health's Caremark.
    • ( SPENDING, REUPPED )  top
    •   topFootwear retailer Foot Locker dropped UnitedHealth Group's OptumRx drug-benefit manager last year, while a Teamsters fund in Philadelphia recently reupped with its replacement for CVS Health's Caremark.
    • ( SPENDING, RETAILER )  top
    •   topEmployers and unions are getting fed up with the firms they have used for years to help control their spending on prescription drugs - because their costs keep soaring.. . Footwear retailer Foot Locker dropped UnitedHealth Group's OptumRx drug-benefit manager last year, while a Teamsters fund in Philadelphia recently reupped with its replacement for CVS Health's Caremark
    • ( SPENDING, OPTUMRX )  top
    •   top"Do the games ever end." said Russell DuBose, Phifer's vice president of human resources. Under the new PBM, Phifer's drug spending has dropped 18% to date this year.. . Caremark, OptumRx and Cigna Group's Express Scripts - the largest of the middlemen - said they save their customers money and give employers information and options to tailor drug benefits to best suit their workers'needs
    •   topBig drug-benefit managers also said they win a lot of repeat business, which OptumRx said indicates customers like their choices and the information they get on their spending. Prime Therapeutics declined to comment.
    • ( SPENDING, MEDICAID_SERVICES )  top
    •   topThe frustrations of some employers and unions are starting to shake up the important but under-the-radar sector for controlling spending on retail prescription drugs, which the Centers for Medicare and Medicaid Services projects will reach $411.6 billion this year.
    • ( SPENDING, MANAGER )  top
    •   top... they have used for years to help control their spending on prescription drugs - because their costs keep soaring.. . Footwear retailer Foot Locker dropped UnitedHealth Group's OptumRx drug-benefit manager last year, while a Teamsters fund in Philadelphia recently reupped with its replacement for CVS Health's Caremark
    • ( REBATES )  top
    • ( REBATES, PBM )  top
    •   topSee ( EMPLOYERS , REBATES , PBM )
    • ( REBATES, WELFARE_TRUST_FUND )  top
    •   topThe Teamsters Health and Welfare Trust Fund of Philadelphia and Vicinity, which replaced Caremark with venture capital-backed Capital Rx in 2019, recently renewed its contract with the upstart middleman because it has saved the fund more on drug...
    • ( REBATES, VENTURE )  top
    •   topThe Teamsters Health and Welfare Trust Fund of Philadelphia and Vicinity, which replaced Caremark with venture capital-backed Capital Rx in 2019, recently renewed its contract with the upstart middleman because it has saved the fund more on drug spending each year than the fund projected, including 17% the first...
    • ( REBATES, TEAMSTERS_HEALTH )  top
    •   topThe Teamsters Health and Welfare Trust Fund of Philadelphia and Vicinity, which replaced Caremark with venture capital-backed Capital Rx in 2019, recently renewed its contract with the upstart middleman because it has saved...
    • ( REBATES, TEAMSTERS )  top
    •   topSee ( EMPLOYERS , REBATES , TEAMSTERS )
    • ( REBATES, SPENDING )  top
    •   top... of Philadelphia and Vicinity, which replaced Caremark with venture capital-backed Capital Rx in 2019, recently renewed its contract with the upstart middleman because it has saved the fund more on drug spending each year than the fund projected, including 17% the first year.. . Capital Rx also agreed to pass through all the rebates it negotiates, said Maria Scheeler, executive director for the Teamsters fund,...
    • ( REBATES, PRIORITIZE )  top
    •   topSee ( EMPLOYERS , REBATES , PRIORITIZE )
    • ( REBATES, PRESCRIPTIONS )  top
    •   topSee ( EMPLOYERS , REBATES , PRESCRIPTIONS )
    • ( REBATES, PBMS )  top
    •   topTo keep a lid on costs, the firms negotiate with drugmakers over how much each prescription will cost and then pass along the rebates they win. The PBMs can threaten to exclude a drug from the menu, or formulary, of medicines a health plan will cover if they don't get a sufficient rebate
    • ( REBATES, OPTUMRX )  top
    •   top... clients settled an arbitration case with a PBM over how much information it should provide about the rebates it negotiates and another is now in a similar arbitration with a PBM. . . Foot Locker replaced OptumRx last year because it wanted more information about how much the PBM was profiting off its work for the retailer, said Linda Gulbrandsen, Foot Locker's vice president of North American benefits
    • ( REBATES, NAVITUS_HEALTH_SOLUTIONS )  top
    •   topSee ( EMPLOYERS , REBATES , NAVITUS_HEALTH_SOLUTIONS )