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828.222.0105

PBM

by | Apr 1, 2026

Pharmacy Benefit Manager (PBM) is a company that administers prescription drug benefits for health plans. They manage formularies, negotiate drug pricing and rebates with manufacturers, contract with pharmacies, and process prescription...

Pharmacy Benefit Manager

by | Apr 1, 2026

A company that administers prescription drug benefits for health plans. They manage formularies, negotiate drug pricing and rebates with manufacturers, contract with pharmacies, and process prescription claims.

Stop-loss Insurance

by | Apr 1, 2026

Limits a group’s financial risk by protecting against high claims. Specific stop-loss covers large claims for an individual member, while aggregate stop-loss protects against total claims exceeding expected levels for the group.

Stop-loss Captive

by | Apr 1, 2026

A member-owned insurance model where mid-sized businesses pool risk and share in profits and decisions.

Direct Primary Care

by | May 23, 2023

Direct primary care (DPC) is a healthcare model in which patients pay a monthly or annual fee to a primary care physician or practice for comprehensive primary care services. DPC eliminates the involvement of insurance companies or third-party payers in the provision...