The New PBM Transparency Rules: What Plan Sponsors Are Actually Asking For
- 0:00 Why Sponsors Are Pressing Now
- 8:00 Rule Changes That Matter Most
- 18:00 The Sponsor Question Shift
Practical shifts you can apply this week
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Identify Priority Disclosure Categories
Spot which disclosures sponsors now expect first, so reviews start with the right evidence.
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Compare Rules To Operations
See where legal requirements stop short of the details needed to manage PBM performance.
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Evaluate PBM Reports For Gaps
Review pricing, rebate, formulary, and specialty data with a sharper eye for omissions.
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Draft A Practical Question Set
Leave with prompts you can use in renewals, audits, and quarterly business reviews.
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Decide When Findings Trigger Action
Know which issues call for contract changes, escalation, or a closer vendor review.
What we'll cover
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0:00
Why Sponsors Are Pressing Now
What changed from 2024 to 2026, and why partial disclosure no longer satisfies boards or fiduciaries.
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8:00
Rule Changes That Matter Most
Federal and state developments, ERISA relevance, and where required disclosure still falls short.
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18:00
The Sponsor Question Shift
How sponsor questions moved from broad transparency requests to net cost, fees, decision rights, and specialty.
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27:00
Reading The PBM Data Trail
How to connect claims, rebates, fees, and pharmacy payments into one auditable story.
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37:00
Contract Terms Under Pressure
Which pricing definitions, audit rights, and remedy clauses matter once transparency findings show up.
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48:00
High-Stakes Areas Sponsors Probe
A look at specialty, formulary tradeoffs, accumulators, maximizers, and affiliate steering concerns.
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55:00
Practical Playbook And Q&A
Recap the framework, outline a 30-day action plan, and answer attendee questions.
Questions people ask before registering
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It is built for working professionals involved in benefits, HR, finance, procurement, compliance, and plan governance. If you review PBM performance or support renewals, it should feel very relevant.
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No. We explain the rules in plain language and focus on what sponsors can actually do with the information. If you have ever stared at a PBM report and thought, "That seems thin," you are qualified.
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Yes. Registered attendees will receive the replay after the session, so you can revisit the framework and examples on your own schedule.
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Both. The session starts with the rule changes, then shows how they affect sponsor questions, report review, and contract decisions. The point is practical leverage, not regulation for regulation's sake.
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Yes. You will leave with a practical sponsor question set and a simple next step: review one current PBM report, mark three unanswered questions, and schedule a governance or contract check-in.
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This webinar is designed for education and practical application. If a certificate of attendance or CE information is available, it will be shared with registrants separately.