Mike Koelzer and Paul Fortunato discuss the complexities of self-insurance and its interplay with the pharmaceutical industry. Representing RX Pharmacy Assurance, Fortunato highlights that a significant portion of the U.S. workforce is under self-insured plans. The company offers stop-loss coverage to help employers navigate the financial challenges of high-cost specialty medications. Larger entities often self-insure for flexibility, while smaller ones grapple with unpredictable premiums. The c...