The healthcare value chain : demystifying the role of GPOs and PBMs / Lawton Robert Burns.
Burns, Lawton R., author.
2022
RA971
Available Online

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Title The healthcare value chain : demystifying the role of GPOs and PBMs / Lawton Robert Burns.
Author Burns, Lawton R., author.
ISBN 9783031107399 (electronic bk.)
303110739X (electronic bk.)
9783031107382
3031107381
DOI https://doi.org/10.1007/978-3-031-10739-9
Published Cham : Palgrave Macmillan, [2022]
Copyright ©2022
Language English
Description 1 online resource (xv, 655 pages) : illustrations (chiefly color)
Item Number 10.1007/978-3-031-10739-9 doi
Call Number RA971
Dewey Decimal Classification 362.10680973
Summary This volume analyzes group purchasing organizations (GPOs) and pharmacy benefit managers (PBMs) in order to better understand the significant roles that these entities play in the healthcare supply chain. It examines who they contract with, on what terms, and who they represent and answer to while charting their historical development. The analysis reveals that the current roles of both players have historical roots that explain why they behave the way they do. Finally, the book reviews the evidence base on the performance results of these two players. This work fills a void in our understanding about two important and controversial players in the healthcare value chain. Both organizations are cloaked in secrecy partly by virtue of the private sector contracts they negotiate, partly by virtue of the lack of academic attention. Both play potentially important roles in controlling healthcare costs, albeit using contracting strategies and reimbursement mechanisms that arouse suspicion among stakeholders. This timely text explicates how these organizations arose and evolved to shed more light on how they really operate. Lawton Robert Burns is the James Joo-Jin Kim Professor at the Wharton School of the University of Pennsylvania, USA and Professor in the Departments of (a) Health Care Management and (b) Management. He is also past Director of the Wharton Center for Health Management & Economics, and since 2013, Co-Director of the Life Sciences and Management Program (LSMP) at the University of Pennsylvania. From 20072014, he served as Chair of the Health Care Management Department. .
Bibliography, etc. Note Includes bibligraphic refrences and index.
Access Note Access limited to authorized users.
Source of Description Online resource; title from PDF title page (SpringerLink, viewed November 2, 2022).
Available in Other Form Print version: 9783031107382
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Part I Introduction
Caution: Entering Dark Territory
The Challenge of Complexity: Chains, Channels, Customers (and Value Too)
Part II Group Purchasing Organizations (GPOs)
Group Purchasing Organizations (GPOs): An Overview
The GPO Chronicle, Part I: 1910-2000 - The Players, Market Structure, and Market Conduct
The GPO Chronicle Part II: 200-2010 - New Judges of GPOs: The Press, the Senate, and the Courts
GPO Performance: A Review of the Literature
Summary: GPOs' Pro-competitive and Welfare-Generating Benefits
GPOs: Differentiated or Commoditized?
Part III: Pharmacy Benefit Managers (PBMs) - PBMs and the Ecosystem of Prescription Drug Benefit Contracting
The PBM Chronicle of the Twentieth Century
PBM Tailwinds in the New Millennium: Specialty Drugs, Specialty Pharmacies, and Insurance Expansion
PBM Headwinds in the New Millennium: Court Challenges, Merger Scrutiny, and Congressional Hearings
Looking Under the Hood: PBM Contracts
Part IV: Summary and Conclusion
Conclusion.

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