The key is the contracts CEOs of self insured companies sign. You may not understand why, but the healthcare insurance and PBM contracts YOU have signed for Tesla, SpaceX ,
@X, along with CEOs of other big companies , have more impact on healthcare costs and quality of care in this country, than anything you can do with DOGE
Let’s start with the pharmacy side. I haven’t seen your contracts, but I already know that if you have a contract with a big PBM you:
1. Don’t control your claims data
2. Don’t control your formulary
3. Have to pay more for “Specialty Drugs” that have nothing special about them
4. Get rebates that are paid for by your sickest and oldest employees and result in higher deductibles and co-pays that impact the wellness of your workers and their families.
5. Cause independent pharmacies to be reimbursed for less than their costs for brand drug scripts for your employees and families. Causing them to go out of business
6. Can’t talk to manufacturers to put together wellness programs for things like GLP1s
7. Signed a PBM contract with an NDA which prevents you from publicly discussing your PBM contract , resulting in an opaque, inefficient market, which leads to higher prices and lower quality of care for the entire country
All of this allows the big PBMs to continue to distort the pharmacy market for literally EVERYONE
I don’t know cars or rockets, but I know how to land healthcare in a net that saves millions of people an un quantifiable amount of money. Without legislation.
It starts and ends with educating CEOs like yourself, of self insured companies, to do what is in the best interest of their employees and families.
And FYI , google the ERISA lawsuits against JJ and Wells Fargo. They will be ubiquitous class action lawsuits coming for all CEOs next.
If DOGE extends its mandate to educating CEOs, about how to Direct Contract with providers and how to work with Pass Through PBMs, then you can change the balance of power in healthcare and change how healthcare in this country works