October 1, 2025 – Risk Managers

The Dirty Secret Lurking in Self-Funded Health Plan TPA Contracts

By Mark Flores – Executive Vice President and Co-Founder at AVYM Corporation

October 1, 2025

Uncovering the Contract Clauses, Repricing Rules, and Shared-Savings Schemes That Inflate Costs and Hide True Liability

Grandpa What’s A PBM?

By Bill Rusteberg

We are seeing the beginning of the end unfolding before our very own eyes. We’ve seen it before with the advent of Reference Based Pricing followed by Cash Pay Centric Health Plans. Both strategies shitcanned value draining middlemen.

Lawsuit: CVS Health Looted Rite Aid Pharmacies, Stripped Them for Parts

Rite Aid says CVS Caremark clawed back $500 million, pushing pharmacies toward closure and sale.

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