# EP 505 ENCORE: Fixing PBM Conflicts - With Susan Thomas

Page: https://stenobird.com/podcast/the-shiftshapers-podcast-1089968/ep-505-encore-fixing-pbm-conflicts-with-susan-thomas
Text version: https://stenobird.com/podcast/the-shiftshapers-podcast-1089968/ep-505-encore-fixing-pbm-conflicts-with-susan-thomas.md
Podcast: [The ShiftShapers Podcast](https://stenobird.com/podcast/the-shiftshapers-podcast-1089968)
Published: 2025-12-02T11:00:00+00:00
Episode link: https://www.buzzsprout.com/2045524/episodes/18263819-ep-505-encore-fixing-pbm-conflicts-with-susan-thomas.mp3
Audio file: https://www.buzzsprout.com/2045524/episodes/18263819-ep-505-encore-fixing-pbm-conflicts-with-susan-thomas.mp3
Processing state: not_requested
JSON: https://stenobird.com/v1/public/podcasts/the-shiftshapers-podcast-1089968/episodes/ep-505-encore-fixing-pbm-conflicts-with-susan-thomas
Duration seconds: 1496

## Resource

Pharmacy benefits shouldn’t feel like a black box. We sit down with Susan Thomas, Chief Commercial Officer at Lucy Rx, to unpack why drug costs keep rising and what it takes to build a benefit that serves patients and plans—not middlemen. Susan started as an oncology nurse and moved into PBM leadership, and that dual lens shows up in everything we cover: from the real-world stress of waiting days for an oral chemo to the hidden economics of rebate chains and vertically integrated networks. W...

## Actions

- request_transcript: `POST https://stenobird.com/v1/public/podcasts/the-shiftshapers-podcast-1089968/episodes/ep-505-encore-fixing-pbm-conflicts-with-susan-thomas/transcription-requests` — Idempotently request low-priority transcript generation for this episode.
- read_markdown: `GET https://stenobird.com/podcast/the-shiftshapers-podcast-1089968/ep-505-encore-fixing-pbm-conflicts-with-susan-thomas.md` — Read the agent-friendly Markdown representation of this episode resource.

A page view does not enqueue transcription. Agents should invoke `request_transcript` explicitly when they need this episode processed.

## Transcript

Full transcripts are not published on public pages unless there is a clear rights basis.