Predictions for 2026 From Leaders in Managed Care

LucyRx Chief Executive Officer David Blair was sourced in a Managed Healthcare Executive article predicting the most significant developments expected to shape U.S. healthcare in 2026. In the article, David shares his perspective on what he sees as a clear pivot in the year ahead: payers will take charge and disaggregate traditional PBM functions.

He cites how frustrations with opaque economics, rising drug costs and poor health outcomes are driving payers to unbundle services like claims processing, formulary management, mail order and specialty services to better control both cost and the member experience.

While traditional PBMs will continue to receive scrutiny, David notes that the real momentum will come from the rise of best-in-class point solutions that deliver transparency and measurable value.

“As employers rebuild their pharmacy strategies piece by piece, patients will experience more choice, clearer pricing and genuinely personalized care,” David says in the article.

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