2009 PBM Customer Satisfaction Report Abstract

The 2009 Pharmacy Benefit Manager Customer Satisfaction Report features new employer ratings on transparency, RFP processes, customer loyalty and specialty pharmacy. A total of 358 U.S. employers representing 17.2 million members provide actionable feedback on the service performance of their pharmacy benefit management (PBM) vendors in 17 areas.

Methodology

PBMI conducted its survey of U.S. drug benefit plan sponsors in the fall 2009. Respondents were asked to indicate their satisfaction levels on service attributes of their own PBM, using a10-point scale, where one is a low level and 10 is a high level of satisfaction. Respondents also used the scale to rate satisfaction with a breadth of attributes.

Key Findings

Employers have given PBMs a weighted average rating of 7.6 on Overall Service & Performance. This is a measure of overall satisfaction for all of the services involved in the design, administration and monitoring of a drug benefit program. PBMs earned a weighted mean rating of 7.5 on Delivering Promised Savings and Delivering Promised Services.

PBMI data document the correlation of employers’ level of satisfaction with financial transparency to their service ratings on PBM performance. The 26.6% of employers who are Extremely Satisfied with the level of financial transparency gave their PBMs significantly higher ratings on all service functions than those employers who are less satisfied.

Nearly one-fourth (23.7%) of employers indicated that they were involved in a competitive procurement process during the past six months, qualifying them to rate their satisfaction with Request for Proposal (RFP) process attributes. While employers rated their satisfaction with Responsiveness to RFP Questions high at 8.3, they indicated a level of dissatisfaction with Clarity of Contract Language by rating it comparatively lower at 7.4.

81% of employers provided a rating for Specialty Pharmacy. These employers were asked to rate PBM performance on four specialty pharmacy management activities. The ratings range from 7.2 to 7.8.

77.9% of respondents who describe the degree of transparency of their financial relationship with their PBMs as Completely Transparent or Somewhat Transparent rate their PBMs higher than those whose relationships are "Not Transparent”.

66.1% of employers perceive their PBMs’ goals are aligned with theirs. This alignment leads to higher ratings than the 15.4% who perceive goals are not aligned. Employers have given their PBMs a Net Promoter Score of +13% based on an equation where 41% Promoters – 28% Detractors =+13%.

Conclusion

While employers are highly satisfied with their PBMs, the importance of transparency is evident. Goal alignment and increased transparency in the employer-PBM relationship engender high ratings on Overall Service & Performance, Delivering Promised Savings, and Delivering Promised Services as well as on service functions. In addition to goal alignment and improved financial transparency, there remains an opportunity to improve important aspects of PBM product/service offerings from the employer’s perspective.

Learn More

Order the 2009 Pharmacy Benefit Management Report in electronic or print formats. The newly designed, four-color color report includes a detailed section of findings, profiles of 14 PBMs. PBMI members receive a 10% on the $279 report.







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