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Lilik Norawati, MD

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We note that HRAs are a promise by an employer to pay up to a specified amount and that many employees will not receive the full amount of their HRA in a year, so adding the employer premium contribution amount and the HRA contribution represents an upper bound for employer liability that overstates the amount that is actually expended

Meanwhile, the traditional managers of drug benefits, like pharmacy benefit management companies, are under fire for a lack of transparency in how they make money, with many of them eliminating controversial rebates they are paid by drug makers or working to scale them back to give their clients a bigger discount on prescription drugs