Featured Guest: Stan Mehr — Editor of Biosimilars Review & Report, healthcare journalist, and market strategist with decades of expertise in biosimilars, pharma reform, and drug pricing dynamics. https://biosimilarsrr.com/about/

In this critical episode, we explore the evolving biosimilars landscape, pricing transparency, and the tangled web of pharmacy benefit managers (PBMs) with biosimilars expert Stan Mehr. From inflated rebates to private-label manipulation, Stan sheds light on how PBMs and policy changes under the Inflation Reduction Act are reshaping access to lower-cost drugs.

If you're an employer, payer, or pharma manufacturer navigating the biosimilar space, this episode is your roadmap to understanding where opportunity lives—and where it's quietly being suffocated.

Key Topics Covered:

• The $25B+ in biosimilar savings… and why it could vanish
• Why employers aren’t seeing those savings—and how PBMs control the game
• The problem with private-label biosimilars
• How the Inflation Reduction Act could unintentionally collapse biosimilar pipelines
• What fiduciary responsibility means for employer health plans
• Long-term predictions: who survives, who exits, and who profits

Hosted by:
Michael Navin & Dr. Randy Vogenberg

Michael's LinkedIn

Randy's LinkedIn

Sponsored by:
Peek: A game-changing prescription shopping solution that allows its members to view all their prescription cost options across cash discount programs and their insurance in one easy-to-use platform. Peek is currently being offered to organizations to help both employees and plan sponsors save money on their prescription spend. https://peekmeds.com/.

Institute for Integrated Health (IIH): Health care benefits, insurance coverage regulations, and doing business in the healthcare industry can be complicated. At IIH, Dr. Randy Vogenberg and his team understand these unique challenges and provides strategic guidance customized to every client. To help overcome your unique challenges, IIH delivers education, planning and advisory on market trends, and U.S. health care market intelligence. The firm’s decades of proven success are due to strategic collaboration with associates from the business, clinical, and scientific communities. https://iih-online.com/.

Music by:
Hanu Dixit, https://www.youtube.com/hanudixit

Join us as we examine the heart of the healthcare affordability crisis.

In this episode, Michael Navin and Randy Vogenberg, PhD discuss the hidden costs exacerbating healthcare access and decision-making.

Listen in as they set the stage for a compelling conversation about healthcare's lack of price transparency and how this obscurity fuels an ongoing affordability crisis.

Key Discussion Points:

• Examining how opaque pricing impacts patient decisions and the healthcare system.
• Insights into technological advancements that could revolutionize how patients and plan sponsors view and manage healthcare expenses.
• Discuss the pivotal role of price transparency in improving healthcare outcomes and reducing unnecessary expenditures.

Hosted by:
Michael Navin & Dr. Randy Vogenberg

Michael's LinkedIn

Randy's LinkedIn

Sponsored by:
Peek: A game-changing prescription shopping solution that allows its members to view all their prescription cost options across cash discount programs and their insurance in one easy-to-use platform. Peek is currently being offered to organizations to help both employees and plan sponsors save money on their prescription spend. https://peekmeds.com/.

Institute for Integrated Health (IIH): Health care benefits, insurance coverage regulations, and doing business in the healthcare industry can be complicated. At IIH, Dr. Randy Vogenberg and his team understand these unique challenges and provides strategic guidance customized to every client. To help overcome your unique challenges, IIH delivers education, planning and advisory on market trends, and U.S. health care market intelligence. The firm’s decades of proven success are due to strategic collaboration with associates from the business, clinical, and scientific communities. https://iih-online.com/.

Music by:
Hanu Dixit, https://www.youtube.com/hanudixit

Join Michael Navin in this insightful brief episode of the "Ask The Expert" series on The Only Healthcare Podcast.

In this episode, Michael dives into President Trump's recent executive order to enforce drug price transparency across the United States. Issued on February 25, 2025, this mandate directs federal agencies to ensure that hospitals and insurers disclose actual healthcare costs, building on a 2019 initiative.

Episode Highlights:

• Understanding the Executive Order: A detailed explanation of the new directive and its expectations from healthcare providers and insurers.
• Impact on PBMs and Carriers: Explore how Prescription Benefit Managers and health insurers must adjust to new regulations that demand greater transparency and how this could reshape their operations and pricing strategies.
• Potential Changes for Consumers: Discuss how this shift towards transparency could empower patients, enabling more informed decisions and potentially lower costs.
• Industry Reactions: Insight into how different stakeholders within the healthcare system might respond to these changes, including potential challenges and benefits.
• Future of Healthcare Costs: Considerations on how this policy could influence the broader healthcare pricing and access landscape in America.

Tune in to understand how this pivotal policy could affect you, whether you're a healthcare professional, industry stakeholder, or a concerned citizen. This episode is a must-listen for anyone interested in the intersection of policy and patient care.

Hosted by:
Michael Navin & Dr. Randy Vogenberg

Michael's LinkedIn

Randy's LinkedIn

Sponsored by:
Peek: A game-changing prescription shopping solution that allows its members to view all their prescription cost options across cash discount programs and their insurance in one easy-to-use platform. Peek is currently being offered to organizations to help both employees and plan sponsors save money on their prescription spend. https://peekmeds.com/.

Institute for Integrated Health (IIH): Health care benefits, insurance coverage regulations, and doing business in the healthcare industry can be complicated. At IIH, Dr. Randy Vogenberg and his team understand these unique challenges and provides strategic guidance customized to every client. To help overcome your unique challenges, IIH delivers education, planning and advisory on market trends, and U.S. health care market intelligence. The firm’s decades of proven success are due to strategic collaboration with associates from the business, clinical, and scientific communities. https://iih-online.com/.

Music by:
Hanu Dixit, https://www.youtube.com/hanudixit