Reconnecting With Your Why.
The Forgotten Why
In workers’ comp, it’s easy to get caught up in the mechanics: claims in, bills out, discounts tracked, reports generated. But if that’s all your PBM is doing, they’re missing the mark. Pharmacy benefits aren’t about transactions—they’re about people. Injured workers. Patients trying to get their lives back. Families depending on a system that often feels like a maze. Your team in the front lines making all of this work.
Too many PBMs have turned the job into a commodity, measuring success by how many fills they can process or how quickly a claim gets paid. That’s not a “why.” That’s a “what.” And when your PBM’s “what” isn’t connected to your “why,” you’re left with misalignment, waste, and frustration.
Finding Your Why
Your “why” is the anchor. For claims executives and risk managers, it’s not just about savings. It’s about ensuring the right medication, at the right time, for the right reason—without unnecessary friction.
When you start with your “why”:
The who becomes clear—partners that share your values rise to the top.
The what becomes sharper—programs, controls, and clinical oversight are no longer abstract; they’re purposeful.
The future becomes possible—because you’re no longer measuring success by transaction volume but by patient recovery and systemic clarity.
The PBM That Serves Your Why
The PBM that serves your why isn’t a claims processor. It’s a guidepost back to your purpose.
From billing to belonging: Moving past “discounts and deals” into true alignment with payer goals.
From opaque to open: Transparent pricing and clinical clarity that reconnect decisions to outcomes.
From reactive to reflective: Instead of chasing problems, designing programs that reduce complexity before it starts.
At Prodigy, our “why” is simple: to help patients recover faster, safer, and smarter—while giving payers clarity and confidence in a space known for confusion and equivocation. We exist to make the process simpler, the outcomes stronger, and the noise disappear.
A Final Word
If your PBM doesn’t connect you to your “why,” then you don’t have a partner—you have a vendor. And if you can’t articulate your “why,” then it’s time to pause, rethink, and realign.
Because when you know your why, the who and the what become clear.
If you’re ready to realign your PBM with your purpose, let’s talk. Prodigy helps payers and claims leaders rediscover their why—and turn it into measurable outcomes.
—Del
About P4P
A Strategic Dose of Clarity in a Noisy PBM Market
Written by Prodigy CEO Del, P4P delivers sharp, consultative insights for decision-makers who are tired of legacy models, hidden costs, and passive vendors. Each piece is a prescription—cutting through the noise to reveal what actually drives performance in pharmacy benefit management.
No fluff. No spin. Just insight that pays off.
