I-PBM ngumlamli phakathi kwabashurensi kunye namanye amalungu enkampu yezempilo. Ngenxa yobungakanani babo, banokuthintana neenkontileka ezinkulu zabathengi kwaye baxoxisana kunye neefommesi kunye neenkampani zonyango ukuze bafumane amaxabiso angcono.
Amalungu omsebenzi wekhemisti kufuneka azi ukuba yiyiphi i-PBM elawula iimarike, iinkampani ezinkulu kakhulu zinomlinganiselo omkhulu wokuxoxisana namazinga okubuyisela amayeza kunye neenkonzo zokunyamekela isigulane.
Iimbopheleleko zePBM
Kungakunceda ukucinga nge-PBM njengomntu ophakathi kwenkqubo yokunakekelwa kwezempilo. Ingathatha isicwangciso esihle sokucwangcisa kunye nomsebenzi wokufumana imithi oyifunayo kuwe ngexesha. Ngokubhekiselele, i-PBM inomsebenzi omkhulu, kuquka:
- Ukunikezelwa kweengxowa-mali zokufumana izikhetho ezinokuthengwa kakhulu
- Sebenzisa umyalelo weposi, ngoko ke amayeza anikezelwa ngqo kwiingcango zezigulane
- Ngokuthotyelwa kwesigulane ukuqinisekisa ukuba amayeza athatyathwa njengoko kuchaziwe
- Amangalo enkqubo kwizigulana kunye nakwii-pharmacy
- Ukulawula amafomula, ngoko abantu bayazi ukuba yintoni imichiza ehlanganiswa ngayo izicwangciso zabo zempilo
- Ukulawula ukuhanjiswa phakathi kwenethiwekhi yamayeza
- Ukubonelela ngeenkonzo ezizodwa, ezifana nokudibanisa ikhemisti okanye abantu ngabathengisi beziyobisi okanye iinkonzo ze-biologic
Njengoko ubona, ii-PBM zinemisebenzi eninzi ejongene nokunyamekela.
Iinkampani ezinhlanu ezinkulu kakhulu zePBM
Ii-PBM ezinhlanu ezinkulu ezisebenza eUnited States zikhulu kakhulu, zibandakanya ngaphezu kwama-50 ekhulwini kwezigulane ezineenzuzo zoshishino. Ezi zilandelayo zi-five PBM ezinkulu kwilizwe, ngokwemali kunye nokukhula:
- I-ExpressScripts: I-ExpressScripts inikezela izisombululo ezinje zokuhamba ngeendleko ze-pharmacy nokuphucula ukunakekelwa kwezigulane. Ekubeni i-ExpressScripts ayinayo okanye inxulumene nayo nayiphi na inkampani yezobisi, ukugxila kwabo kubathengi bayo. Ukugxininiswa kwimivuzo ye-pharmacy kubangela ukhathalelo olungcono lwezonyango.
- I-CVS Caremark: I-CVS Caremark yi-PBM ekhulayo, ukubonelela ngeenkonzo ezixhamlileyo zonyango kwi-2,000 abaxhasi bezempilo kunye nabathathi-nxaxheba kulo lonke elaseMerika.
- Argus: Argus ungomnye wabanikezeli bokugqibela abazimeleyo ngolwazi lwezempilo kunye neenkonzo ezixhasa i-Medicaid ne-Medicare Part D, zikhonza ezinye zeendawo ezikhuselekileyo. Banobubanzi obuninzi beethengi, kwimibutho yokunyamekela ephethwe kubavelisi bamachiza.
- Cinga ngolu hlobo: Ukujonga izinto ezibonakalayo ngokuzibonakalisa ngokubonakalayo kuluntu kunye nokudalulwa kwayo ngokupheleleyo kwiindleko, izivumelwano kunye nothethwano. Kungekudala, Ukucinga bekufumene iWalgreens, ngoko utshintsho olulindelekileyo luya phambili.
- ProCare RX: ProCare RX ngumphathi welizwe loxanduva lwe-pharmacy ngamava eminyaka ekhompyutheni yolwazi lwezempilo.
Inkqubo yokunakekelwa kwezempilo iyinkimbinkimbi kakhulu, kunye neenkampani ezininzi ezichaphazelekayo ezihamba ngaphaya kogqirha nobudlelwane bamachiza.
I-PBM idlala indima ebalulekileyo ekukufumaneni izidakamizwa ozifunayo ngentengo onako ukuyisebenzisa kwaye usebenzise izixhobo zayo ezinkulu ukuxoxisana egameni labagcini bomshuwalense kunye nabathengi.