On Point with Navion https://onpointwithnavion.podbean.com Pharmacy is one of the fastest-growing costs on any health plan, and the hardest to see. PBM contracts, rebate structures, specialty drugs, and GLP-1s are reshaping plan economics faster than organizations can track.

In On Point with Navion, you'll find practical, plain-language insights on the decisions that move the needle most: PBM strategy and contract reviews, rebates, specialty cost containment, GLP-1 coverage, formulary design, and how pharmacy strategy changes across fully insured, level-funded, and self-funded plans. Whether you're overseeing a pharmacy benefit, advising clients or managing a health plan, our goal is simple: help you understand the market, ask the right questions, and make decisions you can stand behind.

Whether you're overseeing a pharmacy benefit, advising clients or managing a health plan, our goal is simple: help you understand the market, ask the right questions, and make decisions you can stand behind.

]]> Thu, 29 Oct 2026 05:15:00 -0400 https://podbean.com/?v=5.5 en Copyright 2026 All rights reserved. Business 1440 episodic Navion Navion No false https://pbcdn1.podbean.com/imglogo/image-logo/22638434/On_Point_-_Podcast_Imagebv422.png On Point with Navion https://onpointwithnavion.podbean.com 144 144 Rebates — Policy Shifts, Rebate Credits, and the Move to Lowest Net Cost Rebates — Policy Shifts, Rebate Credits, and the Move to Lowest Net Cost https://onpointwithnavion.podbean.com/e/rebates-%e2%80%94-policy-shifts-rebate-credits-and-the-move-to-lowest-net-cost/ https://onpointwithnavion.podbean.com/e/rebates-%e2%80%94-policy-shifts-rebate-credits-and-the-move-to-lowest-net-cost/#comments Thu, 29 Oct 2026 05:15:00 -0400 onpointwithnavion.podbean.com/842ed798-412a-38ff-a5b4-9e0400c9bdb8 Rebates are shrinking, list prices are dropping and PBM contracts are quietly changing to keep up. Host Monica Gindhart unpacks how regulation is pushing manufacturers away from the high list price, high rebate model, what rebate credit clauses mean for your groups’ guarantees, and why lowest net cost, not the biggest rebate, should drive your next contract decision. No fluff — just what you need to know this month.

]]> Rebates are shrinking, list prices are dropping and PBM contracts are quietly changing to keep up. Host Monica Gindhart unpacks how regulation is pushing manufacturers away from the high list price, high rebate model, what rebate credit clauses mean for your groups’ guarantees, and why lowest net cost, not the biggest rebate, should drive your next contract decision. No fluff — just what you need to know this month.

]]> Navion false No 288 3 full GLP-1s: Rising Spend, DTC Pressure, and the Coverage Decision GLP-1s: Rising Spend, DTC Pressure, and the Coverage Decision https://onpointwithnavion.podbean.com/e/glp-1s-rising-spend-dtc-pressure-and-the-coverage-decision/ https://onpointwithnavion.podbean.com/e/glp-1s-rising-spend-dtc-pressure-and-the-coverage-decision/#comments Wed, 30 Sep 2026 05:00:00 -0400 onpointwithnavion.podbean.com/558e0ce3-0f31-3ac0-b1b6-2e04b024b020 GLP-1 spend is climbing, approved uses are multiplying, and direct-to-consumer cash pricing is creating new pressures outside the pharmacy benefit. Host Brian Shonat unpacks why GLP-1 coverage decisions are getting more complicated for employers, why a blanket yes or no may not fit every group, and what to review before 1/1 renewals. Five minutes, no fluff — just what you need to know this month.

]]> GLP-1 spend is climbing, approved uses are multiplying, and direct-to-consumer cash pricing is creating new pressures outside the pharmacy benefit. Host Brian Shonat unpacks why GLP-1 coverage decisions are getting more complicated for employers, why a blanket yes or no may not fit every group, and what to review before 1/1 renewals. Five minutes, no fluff — just what you need to know this month.

]]> Navion false No 262 2 full Moving From Fully Insured to Self-Funded? Start With Pharmacy Moving From Fully Insured to Self-Funded? Start With Pharmacy https://onpointwithnavion.podbean.com/e/moving-from-fully-insured-to-self-funded-start-with-pharmacy/ https://onpointwithnavion.podbean.com/e/moving-from-fully-insured-to-self-funded-start-with-pharmacy/#comments Wed, 16 Sep 2026 16:04:50 -0400 onpointwithnavion.podbean.com/107214e4-faba-3e46-99a9-c3b19bcf2eca Rx spend is quietly one of the biggest variables in a group's move from fully insured to self-funded — and one of the easiest things to leave unmanaged once they get there.

Host Lad Williamson unpacks why carrier formularies and PBM contracts don't manage themselves, why pharmacy now regularly exceeds 30% of total plan spend, and the two questions every broker should be asking their groups before 1/1 renewals.

Five minutes, no fluff — just what you need to know this month.

]]> Rx spend is quietly one of the biggest variables in a group's move from fully insured to self-funded — and one of the easiest things to leave unmanaged once they get there.

Host Lad Williamson unpacks why carrier formularies and PBM contracts don't manage themselves, why pharmacy now regularly exceeds 30% of total plan spend, and the two questions every broker should be asking their groups before 1/1 renewals.

Five minutes, no fluff — just what you need to know this month.

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