What Comes After Managed Care?
General Motors Corp. (GM) has 217,000 employees in the U.S., including 180,000 auto workers, 16,000 engineers, and 2,000 managers. And one pharmacist. Why a pharmacist? It's a new strategy GM is using to rein in employee medical costs that, after years of being tame, are expected to jump by 11% this year, to nearly $4 billion. And the prescription-drug portion is expected to shoot up 31%, to $1 billion. "We needed to understand the situation better, and who better to help us understand pharmacy?" says James Cubbin, GM's head of health-care initiatives. The pharmacist, Cynthia Kirman, who started in 1999, tracks the drugs workers use most and uses the information to negotiate discounts with drugmakers.
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