Oct 13, 2026 · 1 hr · 13 segments
In this week’s podcast, Host Dorothy Cociu interviews Troy Lannoo, Senior Vice President, Client Engagement, Leaf Health, a pharmacy management consulting firm. They discuss the drivers of rising…
Dorothy CociuHost
So we're gonna come back to those things because they're very, very important, but let's back up for just a moment.
I wanna talk a little bit about some more traditional things like step therapy.
Does that still work to contain costs? And we'll talk about that, talk a little bit maybe about formularies.
Are, are those things still working, those traditional things we've done, does that still work? Should that still be something to consider in plan design or, or not? What's, what's, what do you, what do you recommend today?
I, matter of fact, I think those, those levers are more important today than they ever have been.
It's, it's so funny, I've talked to clients who are, they're challenged by, like we all are, with pharma's pharmacy spend, how do we manage it? What's the right decision? And oftentimes they go to very drastic measures.
But they look at very extreme changes, uh, but then when you dive into their plan design, co-pays are still very low, there's not a very good spread to c- to really incentivize members from either a carrot or a stick.
I think we, we start with some of the fundamentals, the low-hanging fruit, and then that we, we kinda layer on additional strategies.
It's really hard if you don't do anything to just get out there and work out every single day and eat right immediately.
But if you start incorporating some of those healthy habits, much better long term.
Doesn't take, uh, that big burden, um, kinda falls off your shoulders a little bit because you're not having to go from zero to 60.
So we're gonna come back to those things because they're very, very important, but let's back up for just a moment.
I wanna talk a little bit about some more traditional things like step therapy.
Does that still work to contain costs? And we'll talk about that, talk a little bit maybe about formularies.
Are, are those things still working, those traditional things we've done, does that still work? Should that still be something to consider in plan design or, or not? What's, what's, what do you, what do you recommend today?
I, matter of fact, I think those, those levers are more important today than they ever have been.
It's, it's so funny, I've talked to clients who are, they're challenged by, like we all are, with pharma's pharmacy spend, how do we manage it? What's the right decision? And oftentimes they go to very drastic measures.
But they look at very extreme changes, uh, but then when you dive into their plan design, co-pays are still very low, there's not a very good spread to c- to really incentivize members from either a carrot or a stick.
I think we, we start with some of the fundamentals, the low-hanging fruit, and then that we, we kinda layer on additional strategies.
It's really hard if you don't do anything to just get out there and work out every single day and eat right immediately.
But if you start incorporating some of those healthy habits, much better long term.
Doesn't take, uh, that big burden, um, kinda falls off your shoulders a little bit because you're not having to go from zero to 60.
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