In The News
PBMs Keep Putting It in Writing: They Are Not the Fiduciary
By Jake Velie, Chairman & CEO, National Integrative Health The most important sentence in some PBM paperwork is not buried in the pricing exhibit. It is not in the rebate schedule. It is not in the reporting package. It is the disclaimer. In one PBM pharmacy service agreement reviewed by our team, the language is direct: […]
PBM Transparency Is Coming, and It’s About Time
By Jake Velie, Chairman & CEO, National Integrative Health The momentum toward pharmacy benefit manager transparency just got a significant boost. As reported by Allison Bell in BenefitsPro on July 17, 2026, DOL Secretary nominee Keith Sonderling told the Senate Health, Education, Labor and Pensions (HELP) Committee that drafting new PBM transparency regulations is a priority for […]
Caribou Systems Is Asking the Right Question, and Plan Sponsors Should Listen
By Jake Velie, CEO & President, National Integrative Health Caribou Systems recently published a piece that every self-funded plan sponsor should read: “You’re the Fiduciary. Can You Prove It?” It’s a direct, uncomfortable question, and that’s exactly why it matters.¹ Their argument is simple and correct: ERISA fiduciary compliance isn’t about outcomes. It’s about process. Specifically, can […]
Case Study: Seamlessly Reducing High-Cost Pharmacy Spend Without Disrupting Member Care
Client Snapshot: The Illinois Plan Sponsor Top 25 Reprice An Illinois Plan Sponsor was facing a growing challenge with high-cost pharmacy claims. A small group of prescriptions was driving significant plan spend, and the company needed a clearer way to identify savings without disrupting employees who depended on these medications. NIH analyzed 1,677 claims of […]