Call Us: 888-488-5750

What does a PBM do? Use this handy guide to explain

We recently saw a well-done explanation of how PBMs interact with the patient’s journey and wanted to share it with our readers.

The short article was created by Pharmaceutical Care Management Association (PCMA), the industry’s representative organization in Washington.

While most of us are deeply familiar with that journey, it’s easy to forget that, to healthcare consumers, that process may not be as clear as it could be.

In the article, the reader is walked through six discreet stages, from doctor’s visit through medicine dispensing and beyond. 

If you regularly come in contact with patients, some of whom may be struggling with who’s who in their healthcare process, you might want to bookmark this short article about what PBMs do for patients for sharing.

And for a deeper dive into how PBMs can do better, check out these articles from VativoRx:

Isometric illustration of a modern outpatient infusion center connected by digital data lines representing strategic rebate management and healthcare revenue optimization.

Reimbursement Headwinds and the Rise of Revenue Resilience

Across the healthcare landscape, hospitals, infusion centers, and outpatient facilities are facing mounting financial pressure. In 2025, CMS reimbursement adjustments, biosimilar pricing shifts, and increased payer scrutiny have made maintaining predictable revenue more challenging than ever.

Read More »

Are Provider-Led Health Plans Leaving Rebate Dollars Behind?

As hospitals and health systems evolve into risk-bearing organizations, many are launching their own health plans or taking on delegated risk through Medicare Advantage, ACOs, and MSOs. This shift creates new opportunities for financial sustainability, but also introduces new challenges.

Read More »