The Healthcare Value Chain

Demystifying the Role of GPOs and PBMs

Lawton Robert Burns

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English

Palgrave Macmillan
20 October 2022

Health economics; Management of specific areas; Purchasing & supply management

This volume analyzes group purchasing organizations (GPOs) and pharmacy benefit managers (PBMs) in order to better understand the significant roles that these entities play in the healthcare supply chain. It examines who they contract with, on what terms, and who they represent and answer to while charting their historical development. The analysis reveals that the current roles of both players have historical roots that explain why they behave the way they do. Finally, the book reviews the evidence base on the performance results of these two players.

This work fills a void in our understanding about two important and controversial players in the healthcare value chain. Both organizations are cloaked in secrecy — partly by virtue of the private sector contracts they negotiate, partly by virtue of the lack of academic attention. Both play potentially important roles in controlling healthcare costs, albeit using contracting strategies and reimbursement mechanisms that arouse suspicion among stakeholders. This timely text explicates how these organizations arose and evolved to shed more light on how they really operate.

By: Lawton Robert Burns
Imprint: Palgrave Macmillan
Country of Publication: Switzerland
Edition: 2022 ed.
Dimensions: Height: 235mm, Width: 155mm,
Weight: 1.166kg
ISBN: 9783031107382
ISBN 10: 3031107381
Pages: 655
Publication Date: 20 October 2022
Audience: Professional and scholarly , Undergraduate
Format: Hardback
Publisher's Status: Active

Lawton Robert Burns is the James Joo-Jin Kim Professor at the Wharton School of the University of Pennsylvania, USA and Professor in the Departments of (a) Health Care Management and (b) Management. He is also past Director of the Wharton Center for Health Management & Economics, and since 2013, Co-Director of the Life Sciences and Management Program (LSMP) at the University of Pennsylvania. From 2007–2014, he served as Chair of the Health Care Management Department.

Reviews for The Healthcare Value Chain: Demystifying the Role of GPOs and PBMs

“Throughout the book, Burns does a nice job ... summaries which still apply today. ... this is an impressive text that will guide readers through the evolution of these two critically important but often under-recognized industries.” (Kevin A. Schulman, Health Affairs, healthaffairs.org, December 1, 2023)