Knowing which factors influence revenues for commercial health plans and pharmacy benefit managers (PBMs) helps pharmaceutical sales reps provide the right mix of solutions to their customers. But reading annual reports and financial statements can be tricky if you’re not a CFO. What’s more, these resources rarely provide a complete picture of a company’s financial health.
And for the short term, payer financials may be especially challenging to decipher, given the impact of COVID-19. For example, many health insurers have reported strong earnings because they have had to pay fewer claims, as patients have delayed care or canceled elective procedures. Whether this trend holds as the country faces additional surges is unclear.