Contracting for Success: Key Legal Considerations When Segmenting Pharmacy Benefit Programs
Release Date: 04/22/2025
Contracting for Success: Key Legal Considerations When Segmenting Pharmacy Benefit Programs
Wiley Podcast
In this episode of The Wiley Contracting Chronicles, co-hosts Jordan Ross and Brooke DeLoatch take a deeper dive into program segmentation within pharmacy benefit programs. After outlining the concept in their previous episode, they now explore the contractual implications that follow a health plan’s decision to segment services among multiple PBMs or service providers. Throughout the episode, they stress one essential takeaway: involve legal counsel early and often to lay the groundwork for a smooth and
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Pharmacy Benefit Segmentation: Emerging Models for Health Plans
Wiley Podcast
In this episode of The Wiley Contracting Chronicles, hosts Jordan Ross and Brooke DeLoatch discuss the growing trend of pharmacy benefit segmentation among health plans. They outline three emerging models identified at Wiley: Product Service Disaggregation, Program Segmentation, and Industry Disruption—each offering varying levels of complexity and control. The hosts highlight key considerations for implementing these models, including resource commitment, clear contracting terms, and ensuring service pro
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Transforming PBM Contracting: The Wiley Approach
Wiley Podcast
In this episode of Wiley’s Health Care Contracting Chronicles, hosts Jordan Ross and Brooke DeLoatch share how Wiley’s innovative PBM contracting process helps health plans achieve better pricing, transparency, and efficiency. They outline the five key stages of the Wiley Competitive Contracting process, explain why early legal involvement is a game-changer, and discuss how this method drives meaningful negotiations. Tune in for actionable insights into mastering PBM contracts in a rapidly evolving marketplace. Wiley's Health Care Team Dorthula H. Powell-Woodson; Brooke M. DeLoatch;...
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Understanding Pharmacy Benefit Managers: The PBM Landscape Explained
Wiley Podcast
In this episode of Wiley’s Health Care Contracting Chronicles, hosts Jordan Ross and Brooke DeLoach introduce the complex world of Pharmacy Benefit Managers (PBMs) and their pivotal role in the healthcare industry. They explore the functions of PBMs as intermediaries between insurers, pharmaceutical companies, and pharmacies, detailing their responsibilities in managing drug benefits and negotiating prices. The discussion also addresses the growing concerns around transparency and regulatory oversight, hi
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Food for Thought and Thoughts on Food: A Discussion on Scaling in Food and Other Industries
Wiley Podcast
On this episode, Wiley's Amaru Sánchez is joined by Ryan Hawkins from Next Rung Technologies to discuss scaling across multiple industries and sectors and the difficulties startups are facing in the current investment landscape. Ryan describes his recommendations in using a Techno-Economic Analysis (TEA) to analyze their processes and implement improved practices. Following the discussion, Senior Counsel Bob Hibbert and Associate Amaru Sanchez break down the hurdles of scaling the food industry, including
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Keith Matthews and Kimberly Reynolds: Talking Ag Biotech Episode 6
Wiley Podcast
On this episode of Talking Ag Biotech, Keith Matthews is rejoined by Kimberly Reynolds of Wiley’s International Trade practice to discuss the new dispute resolution panel that has been established in the United States-Mexico genetically engineered (GE) corn dispute under the U.S.-Mexico-Canada Agreement (USMCA). Keith and Kimberly also discuss the procedures and requirements for non-governmental entities to file written submissions to the panel for consideration.
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How ESG and Election Law Intersect: Putting the ‘S’ in ESG
Wiley Podcast
In today's interconnected world, the realms of Environmental, Social, and Governance (ESG) and political law have become inextricably entwined, shaping the landscape of responsible business practices and governmental regulations. Join Wiley partners Kevin B. Muhlendorf of the White Collar Defense & Government Investigations Practice and Carol A. Laham of the Election Law & Government Ethics Practice as they dissect how political law is affected by ESG, largely through the avenue of social responsibility. Li
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Talking Cannabis-Marijuana
Wiley Podcast
Wiley attorneys Keith Matthews and Jessica Vaughn, Ph.D., engage in an in-depth discussion of the recently enacted Medical Marijuana Cannabidiol Research Expansion Act and describe some of the regulatory implications that may result from the significant changes that it makes to cannabis-marijuana federal law.
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Food for Thought and Thoughts on Food: What to Expect in 2023
Wiley Podcast
On this episode, Amaru Sánchez and Bob Hibbert discuss trends you can expect to see in the food and drug space in the coming year. Beginning with the emerging market of cultivated protein, Amaru and Bob cover what is next for the U.S. Department of Agriculture (USDA) in regulating cultivated poultry products, before discussing the Food and Drug Administration’s (FDA) Human Foods Program, labelling issues of alternative products, and more.
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Cellular Agriculture and the Evolving Legal/Regulatory Landscape: A Conversation with Ahmed Khan
Wiley Podcast
On this episode of “Food for Thought and Thoughts on Food,” Ann Begley and Amaru Sanchez join to discuss regulatory and commercialization challenges facing novel foods today. The pair interview Ahmed Khan, Founder and Editor of Cell Agri, a news and research startup that aims to be the homepage of the emerging cellular agriculture field. Following their interview, Ann and Amaru discuss labelling issues, before moving on to Federal preemption, the U.S. FDA’s GRAS process, and what novel food companies
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