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In this episode of The Business of Benefits, host Donovan Ryckis sits down with Trace Voshell, Chief Revenue Officer at GoGoMeds, to expose one of the most overlooked cost drains in employer healthcare: generic drug inflation. While most employers focus on high-cost specialty medications, Trace reveals that generic drugs, covering 80-90% of employees on medication, are systematically overpriced by 30-60% through PBM spread pricing and hidden conflicts of interest. Trace pulls back the curtain on how PBMs profit twice (on adjudication and through ownership of mail order pharmacies), why brokers often block cost-saving solutions (hint: per-script kickbacks), and how employers can bypass these roadblocks even when they feel "handcuffed" to large carrier PBMs. With real case studies showing $45,000 to $140,000+ in annual savings, this episode proves that transparent cost-plus pharmacy pricing can deliver six-figure savings while offering employees zero-copay medications. What You'll Learn: Why generic drugs represent the biggest overlooked savings opportunity in pharmacy benefits How PBM "spread pricing" allows them to pocket the difference between what they charge you and what they pay pharmacies The shocking conflict of interest: PBMs owning their own mail order pharmacies and profiting twice Why brokers often block pharmacy savings solutions (per-script fees and backend compensation) Real case studies: How a 70-employee shop saves $45K annually and larger groups save $130K-$140K+ The difference between GoGoMeds and Mark Cuban Cost Plus Drug Company How to bypass PBM roadblocks with direct-to-employer pharmacy arrangements The vague PBM contract language that enables systematic overcharging (and how to spot it) A 60-second ChatGPT hack to identify unfavorable terms in your PBM contract Why zero-copay generics are a powerful recruitment, retention, and employee trust-building tool How to implement mail order generic pharmacy mid-year without waiting for renewal -------------------------------- Get more on our guest Trace at: GoGoMeds https://gogomeds.com/GoGoClient/ LinkedIn: Trace Voshell / trace-voshell-34040b7a Whether you're an HR professional, CFO, CEO, or just tired of rising healthcare costs, this is your call to rethink benefits strategy and finally take control. Connect with Chelsea and Donovan: The Business of Benefits Podcast Website: https://www.businessofbenefitspodcast... Instagram / businessofbenefitspodcast Chelsea / chelsea-ryckis-8508a192 Donovan / donovanryckis Time Stamps: 00:00 – Preview 01:13 – Episode Overview 01:57 – Guest Introduction: Trace Voshell 02:44 – From the Other Side: Trace's Journey from Big Pharma 04:48 – The GoGoMeds Solution: Cost-Plus Transparency 05:25 – Implementation Made Simple: Quick Wins for Plan Sponsors 07:51 – The Broker Pushback Problem: Lazy or Conflicted? 09:08 – The $78,000 Firefighter Story: When PBMs Say "Can't" They Mean "Won't" 10:00 – GoGoMeds vs. Mark Cuban Cost Plus: What's the Difference? 12:22 – Case Study Results: $130K-$140K in Annual Savings 13:26 – The Low-Hanging Fruit Everyone Misses: Why Generic Drugs Matter 14:00 – Bypassing the BUCA Roadblock: Direct-to-Employer Arrangements 16:07 – The Numbers: 30-60% Savings on Generic Spend 17:02 – Quick Wins Build Trust: The Strategic Value of Zero-Copay Generics 18:19 – Recruitment and Retention Tool: Making Benefits Competitive 19:05 – Timing and Implementation: You Don't Have to Wait for Renewal 20:30 – The PBM Contract Language Trap: "May Retain the Difference" 22:45 – Vague Pricing Terms: AWP and the "Magic Trick" 24:30 – Real Contract Examples: What to Look For 26:14 – The 60-Second AI Contract Review: Upload to ChatGPT 27:08 – Why Your Broker Never Brought This Solution: The Compensation Model Problem 27:38 – Parting Thoughts: It Really Is This Simple 28:26 – Closing Remarks -------------------------------- Finished with the content? Claim your CE credit here: https://ideas.ethosbenefits.com/conti... SHRM: Ethos Benefits is recognized by SHRM to offer professional development credits (PDCs) for SHRM-CP® or SHRM-SCP® recertification activities. HRCI: Ethos Benefits is approved to offer HRCI® recertification credits for this program. This program has been approved for 0.5 - 1 HR (General) recertification credit(s) toward aPHR®, PHR®, SPHR®, and GPHR® certification.