…Although Alexander with PCMA said clients can specify how much transparency they want from their PBM, Orsborn said that may not be as easy as it sounds.

“A lot of PBMs are reluctant to provide pricing ‘transparency,’” Orsborn said. “You may find yourself without many options if that’s your selection criteria. And transparency may not equal price or service competitiveness.”

Orsborn said the legislative proposals regarding PBMs are “a good starting point,” although they seem to be geared more toward Medicare and group health systems rather than workers’ comp.