The New PBM Blueprint: Inside the SureSpend™ Model

In the first episode of our new series The New PBM Blueprint, host Joe Chamberlin dives in with Rightway's VP of Underwriting and CoGS Management, Doug Isenberg. Doug has spent his career inside PBM pricing, from building spread margin models at a legacy PBM to advising clients as a consultant to eventually shaping Rightway's pricing strategy from the ground up.

In this episode, you'll hear:

• How Rightway's PMPM approach emerged as a deliberate alternative to traditional PBM models, which are structurally biased towards higher drug costs.
• The details of the SureSpend model, including the precision pricing guarantee and zero markup wrap, along with clearing up objections Doug hears from consultants.
• Discussion on GLP-1 carve-outs, rebate credits, rare high-cost drugs, and how SureSpend reconciliation actually works.