BIP Spring 2025

NABIP in Action

Delta Force ensures NABIP’s Healthcare Bill of Rights priorities come to life In 2024, the standing committee focused on PBM transparency, mental health and healthcare literacy.

The Delta Force, originally formed to create NABIP’s foundational Healthcare Bill of Rights, is now a permanent standing committee within the association, reporting to the Board of Trustees. Each year, the committee intends to focus on at least three key elements of NABIP’s Healthcare Bill of Rights. In 2024, its areas of concentration were: • Pharmacy benefit management • Mental health • Healthcare literacy

1 Right to Affordable Medication (Article VII) — PBM transparency Leveraging the expertise of members with deep knowledge of PBMs, the Delta Force promoted a comprehensive position paper that breaks down how PBMs operate, exposing misaligned incentives and advocating for employer transparency in understanding PBM revenues. It outlines 10 actionable steps employers can take to ensure PBM transparency and accountability. The effort gained recognition from a range of thought leaders, including Mark Cuban, further underscoring its impact. “Employers often have no idea how PBMs or consultants are compensated,” says Gaunya. “This work not

Delta Force Chair Mark Gaunya, principal at Borislow Insurance, highlights the significant progress made in these areas over the past year, crediting NABIP’s Healthcare

Bill of Rights’ accompanying scorecard as a key tool. This 10 feature, 12-point scale evaluates

legislation and proposals against all of the Bill of Rights’ principles, with a score of 75 or higher deemed acceptable. “It enables discussions grounded in principles instead of politics and gives us a tool to advocate for improvements in the healthcare ecosystem,” Gaunya says. Here’s how the Delta Force advanced its 2024 priorities:

10 bip magazine Spring 2025