Working Healthcare

Ep. 103 - Follow the Money: Inside America's Drug Pricing Black Box (ft. Tesh Khullar)

53 min · 19 de may de 2026
Portada del episodio Ep. 103 - Follow the Money: Inside America's Drug Pricing Black Box (ft. Tesh Khullar)

Descripción

If we are insured and spending nearly half a trillion dollars a year on prescription drugs, why are patients still standing at the pharmacy counter being told no? This episode of Working Healthcare follows that money. Host Meredith Hirsh sits down with Tesh Khullar, founder and CEO of Prism TPO and co-founder of HouseRx who has spent his career inside drug distribution, oncology data and specialty pharmacy. He explains how PBMs, vertically integrated insurers, 340B arbitrage and opaque rebates pull value out of the system before it ever reaches patients or independent practices. If you want to understand why the system works the way it does and who really absorbs the cost, this is the conversation to start with. Tune in. Contact Tesh: Website: prismtpo.com [https://prismtpo.com/] LinkedIn:  /tesh-k-269669  [https://www.linkedin.com/in/tesh-k-269669/] Contact Meredith: Website: meredithhirsh.com [https://www.meredithhirsh.com/] Instagram: @workinghealthcare [https://www.instagram.com/workinghealthcare/] Facebook: WorkingHealthcare [https://www.facebook.com/workinghealthcarepodcast] LinkedIn: @meredithfhirsh [https://www.linkedin.com/in/meredithfhirsh/] YouTube: @WorkingHealthcare [https://www.youtube.com/@WorkingHealthcare]

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episode Ep. 103 - Follow the Money: Inside America's Drug Pricing Black Box (ft. Tesh Khullar) artwork

Ep. 103 - Follow the Money: Inside America's Drug Pricing Black Box (ft. Tesh Khullar)

If we are insured and spending nearly half a trillion dollars a year on prescription drugs, why are patients still standing at the pharmacy counter being told no? This episode of Working Healthcare follows that money. Host Meredith Hirsh sits down with Tesh Khullar, founder and CEO of Prism TPO and co-founder of HouseRx who has spent his career inside drug distribution, oncology data and specialty pharmacy. He explains how PBMs, vertically integrated insurers, 340B arbitrage and opaque rebates pull value out of the system before it ever reaches patients or independent practices. If you want to understand why the system works the way it does and who really absorbs the cost, this is the conversation to start with. Tune in. Contact Tesh: Website: prismtpo.com [https://prismtpo.com/] LinkedIn:  /tesh-k-269669  [https://www.linkedin.com/in/tesh-k-269669/] Contact Meredith: Website: meredithhirsh.com [https://www.meredithhirsh.com/] Instagram: @workinghealthcare [https://www.instagram.com/workinghealthcare/] Facebook: WorkingHealthcare [https://www.facebook.com/workinghealthcarepodcast] LinkedIn: @meredithfhirsh [https://www.linkedin.com/in/meredithfhirsh/] YouTube: @WorkingHealthcare [https://www.youtube.com/@WorkingHealthcare]

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