Analysis highlights the impact of rising drug costs in oncology on pharmacy benefit governance, suggesting reforms for accountability.
Pharmacy benefit governance is facing a pressure test. Rising drug costs, especially in oncology, coupled with increasing regulatory attention and a growing demand for accountability, have reshaped how health plan fiduciaries must approach benefit design. The strain of high-cost emerging cell and gene therapies and specialty drugs for oncology are burdensome for virtually every self-insured stakeholder.
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Larry C. Daugherty (2025) studied this question.
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