Latest / OneLegUpAlex Media / LaborPress Radio's Alex Garrett Talks With Tonia Sorrell-Neal of the Pharmaceutical Care Management Association 9-5-24
Transcript
- 0:00Speaker 1: All right, back here at the Labor Press High Speed
- 0:02Speaker 1: Rail Conference Salem Media Group. I'm Alex Garrett with Tanya
- 0:06Speaker 1: Sorell Neil. You're the senior director for State Affairs for
- 0:09Speaker 1: the Pharmaceutical Care Management Association also known as PCMI.
- 0:13Speaker 2: Thanks for joining me, Yeah, thank you for having me.
- 0:15Speaker 1: Now, pharmaceuticals high speed Rail. What's the connection here?
- 0:18Speaker 2: Unions, organized labor. They're a powerful entity and we need
- 0:22Speaker 2: to be able to get some education and information in
- 0:25Speaker 2: their hands. And this is a great opportunity to do so.
- 0:27Speaker 1: When I think of state affairs, so you deal with Washington,
- 0:29Speaker 1: you deal with New York State, I imagine as well.
- 0:31Speaker 2: Yeah. So I'm based in Seattle, so I deal with Washington, Washington, Oregon, Utah, Montana, Hawaii,
- 0:37Speaker 2: Alaskan and Oregon and so. But I also work with
- 0:41Speaker 2: our organized labor partners on PBM issues that impact them
- 0:46Speaker 2: at the state level as well as educating them for
- 0:48Speaker 2: the national level.
- 0:49Speaker 1: I've been here a lot today about the pharmaceuticals. How
- 0:51Speaker 1: prices are through the roof for union members. Is that
- 0:54Speaker 1: across the board for not EU members as well, But
- 0:56Speaker 1: when it hits the union members, that's a call to action.
- 0:58Speaker 2: For you guys, right, it is absolutely And so what
- 1:01Speaker 2: a PBM does, which are our clients with people we
- 1:03Speaker 2: work for, is we work with the health plans in
- 1:07Speaker 2: order to get the lowest prices by negotiating those prescription
- 1:10Speaker 2: drug prices and putting together some services that help keep
- 1:14Speaker 2: prices low.
- 1:15Speaker 1: When you see the administration, say the biderministration or any
- 1:17Speaker 1: administration lower the drug costs, are you guys playing a
- 1:20Speaker 1: role in that.
- 1:21Speaker 2: We're playing a big girl in that. Yao. So we're
- 1:22Speaker 2: going to be at all of those tables and again
- 1:25Speaker 2: trying to make sure the plans have the ability to
- 1:28Speaker 2: work their magic and make decisions in order to keep
- 1:32Speaker 2: the prices low. So the more regulations that are passed
- 1:35Speaker 2: against PBMs, the less choice that the labor unions their
- 1:39Speaker 2: management partners have in their health.
- 1:41Speaker 1: Enters controversial question here. But how do big Farmer get
- 1:43Speaker 1: away with this?
- 1:43Speaker 2: I don't know, that is a controversial question. They have
- 1:46Speaker 2: a lot of money and they are using a lot
- 1:51Speaker 2: of different tactics to be able to try to control
- 1:55Speaker 2: the messaging. And so at the end of the day,
- 1:58Speaker 2: farm and the manufacturers they're the ones that set the
- 2:01Speaker 2: prices and the rest of us are working to in
- 2:03Speaker 2: the drug supply chain to keep those costs low.
- 2:07Speaker 1: Now, at the same time, you guys have to work
- 2:08Speaker 1: with the pharmaceuticals as well.
- 2:10Speaker 2: We do, yep, yep, They're a partner. And you know, again,
- 2:13Speaker 2: as with any industry, you want to be able to
- 2:15Speaker 2: work well. And part of the challenges is all the
- 2:18Speaker 2: rhetoric and all of the misinformation that is being spread
- 2:22Speaker 2: by some of the different associations in the pharmaceutical entity.
- 2:26Speaker 2: And so as long as that rhetoric continues to be
- 2:29Speaker 2: at this depth and extreme it is, you're going to
- 2:32Speaker 2: see legislation and bills and laws pass, but not on
- 2:38Speaker 2: the merits of it, more on the rhetoric of the conversation. Now.
- 2:40Speaker 1: Obviously we're talking about the high speed rail as well,
- 2:43Speaker 1: So a lot of your members could really be impacted
- 2:46Speaker 1: in a good way.
- 2:46Speaker 2: With this, in a good way. You know what. The
- 2:48Speaker 2: more they build, the more these unions are strong and
- 2:51Speaker 2: they can treat their members well and get people from
- 2:54Speaker 2: one place to another. That is going to benefit everybody
- 2:57Speaker 2: in this country. And it'll really serve to improve the
- 3:02Speaker 2: mode of transportation and the busy cities.
- 3:04Speaker 1: So listeners out there might be union leaders saying, oh
- 3:07Speaker 1: my god, my guys are not getting good drug prices
- 3:10Speaker 1: either or fair prices. How can they reach out to you?
- 3:13Speaker 2: Yeah, so most all plans have a PBM hired in
- 3:18Speaker 2: one manner or another, and so what they want to
- 3:20Speaker 2: do is reach out to their plan providers and talk
- 3:24Speaker 2: about what different options they can use within the plan
- 3:27Speaker 2: that's been designed for them. And you know, we have
- 3:32Speaker 2: all kinds of folks available that can help work the
- 3:35Speaker 2: work them on those specific issues.
- 3:37Speaker 1: We're dealing with real life here, okay, And I feel
- 3:39Speaker 1: like as somewhat disability myself. Yes, there are hundreds of
- 3:42Speaker 1: others that become disabled email on the job, but I
- 3:46Speaker 1: just feel like Washington doesn't understand that yet, and you're
- 3:48Speaker 1: bringing that understanding to that market.
- 3:50Speaker 2: We are trying our best, and that is part of it,
- 3:53Speaker 2: is understanding how complex the drug supply chain is and
- 3:58Speaker 2: how personal it is to each person. You know, how
- 4:01Speaker 2: a drug reacts to one person is not going to
- 4:04Speaker 2: be the same. And then of course you have other
- 4:06Speaker 2: challenges that are going on in the industry, within the
- 4:09Speaker 2: healthcare industry as a whole, that have to be addressed,
- 4:12Speaker 2: and so we really need people to focus. We need
- 4:15Speaker 2: our labor partners to be able to share how it
- 4:17Speaker 2: impacts their members, and we need Congress and the state
- 4:19Speaker 2: legislatures to step back and be more thoughtful and realize
- 4:25Speaker 2: the cost of implications of some of these choices.
- 4:27Speaker 1: If someone misses pacma's website, right, are their testimonials from
- 4:30Speaker 1: union members talking about.
- 4:32Speaker 2: So there's not but we are. We just have a
- 4:34Speaker 2: new website and they're just putting up new information and
- 4:38Speaker 2: we've got a couple of things in play that those
- 4:40Speaker 2: will be up soon and we'll be sharing those with
- 4:42Speaker 2: other union partners as well.
- 4:43Speaker 1: You see these drug prices lower. I feel like you
- 4:45Speaker 1: guys be like in Michigan controlled cheering.
- 4:46Speaker 2: It right, Yes, yeah, so you know we we were,
- 4:50Speaker 2: our PBMs were really involved with getting generics brought into
- 4:55Speaker 2: the mainstream and how generics are have improved the cost
- 4:57Speaker 2: of prescription drugs. One of the things that I think
- 5:00Speaker 2: a lot of people don't realize is only about ten
- 5:03Speaker 2: percent of the prescription drugs that are out there are
- 5:06Speaker 2: causing those cost increases. Ninety percent of our generics and
- 5:09Speaker 2: it's those ten percent that are under cylinder or patent
- 5:12Speaker 2: by the manufacturers that that there's not a lot of
- 5:15Speaker 2: cost controls on.
- 5:16Speaker 1: I don't know if you were there when Strelli went
- 5:18Speaker 1: to jail and all that, But did that raise awareness
- 5:20Speaker 1: to all of this this going on? Right?
- 5:23Speaker 2: So I wasn't, And because I'm from the West Coast,
- 5:27Speaker 2: I'm not as familiar with that issue, so I'm going
- 5:30Speaker 2: to pass on that.
- 5:31Speaker 1: Okay. So but when you have those high profile cases,
- 5:34Speaker 1: it kind of raise awareness. Oh my god, that people
- 5:37Speaker 1: on the ground are dealing with this every day.
- 5:39Speaker 2: Yeah, you know, there's a lot of conversation around PBMs,
- 5:44Speaker 2: and what's not going on is the conversation around how
- 5:47Speaker 2: they impact the individuals and the plan participants on a
- 5:52Speaker 2: daily basis. And when you have you know, requirements that
- 5:55Speaker 2: talk about step therapy or you have to choose you know,
- 5:58Speaker 2: certain drugs, those are a decisions that are made by
- 6:01Speaker 2: the plan to help keep costs low, but also to
- 6:04Speaker 2: make sure that the patient and the consumer gets the
- 6:07Speaker 2: right drug at the right time. Sure, and that's really
- 6:09Speaker 2: important too.
- 6:10Speaker 1: And also copays and all the refills and all that
- 6:12Speaker 1: idea with that on daily basements. Anyway, I'm looking into
- 6:15Speaker 1: the cards. S CiU is here, a fl CIO is here,
- 6:19Speaker 1: and I'm sure you deal with all of these unions
- 6:21Speaker 1: on the whole. So what's it like dealing with the
- 6:23Speaker 1: different leaders.
- 6:25Speaker 2: You know what, it's it's a step going home the
- 6:29Speaker 2: or the labor leadership. They're so thoughtful and they really
- 6:32Speaker 2: understand what it is that their members want and what
- 6:35Speaker 2: it is that they need. And so I am thrilled
- 6:40Speaker 2: to be able to have the opportunity to be able
- 6:42Speaker 2: to work in this space.
- 6:43Speaker 1: And I'm sure PCM always looking to add on more unions.
- 6:45Speaker 2: Right, Yes, absolutely, And that's kind of why we're here today,
- 6:48Speaker 2: to be able to meet some folks and be able
- 6:52Speaker 2: to get some information and some education moving forward.
- 6:54Speaker 1: Because when you see the word local, you really mean local.
- 6:57Speaker 1: You could be from Washington, but here we go side
- 7:00Speaker 1: someone from Long Island City or even here in New
- 7:02Speaker 1: High Park, right.
- 7:03Speaker 2: Yeah, absolutely, So we see state legislation across all the states,
- 7:07Speaker 2: and so there's consistency in those patterns, and so being
- 7:12Speaker 2: able to talk with the locals and be able to
- 7:14Speaker 2: share those messages and help people understand what it is
- 7:17Speaker 2: their PREBM does for them is a big part of
- 7:19Speaker 2: what we do.
- 7:20Speaker 1: One last thing New York say typically blue, is it
- 7:22Speaker 1: in favor of unions in this regard or is there
- 7:25Speaker 1: still work to go with them?
- 7:26Speaker 2: You know what, there's a lot of work in the
- 7:27Speaker 2: whole education and information of PBMs and what they do.
- 7:33Speaker 2: The good news is because New York is a leader
- 7:35Speaker 2: not only in the Union world but also in the
- 7:38Speaker 2: Democratic States, sure that when they get involved, people listen,
- 7:43Speaker 2: and they have gotten involved strongly in New York and
- 7:46Speaker 2: address some of the legislation that has been attempting to
- 7:49Speaker 2: pass and been able to really help control some of that.
- 7:52Speaker 1: Tanya Sirel Neil, thanks for joining me today.
- 7:54Speaker 2: Thank you, it's nice meeting you.