Helping Employers Save Money Without Cutting Benefits

How can you say no to that?

Managing PBM costs can be elusive -

but it doesn't have to be.


Pharmacy benefit costs are difficult to predict, measure and manage, which can deeply impact budgets and resource management/planning. Typical PBM practices to cut costs usually result in benefit cuts/reductions, higher member share of cost, a longer list of exclusions/reduced access, etc. This is the opposite of what you want to do, but often, benefits managers feel powerless in understanding there is a better way to manage pharmacy benefits.

 

There is a better way:

understand your PBM pricing and performance.

 

Our goal is to help you cut unnecessary costs by optimizing PBM pricing and contracts through automated PBM RFPs and PBM Market Checks, and by holding PBMs accountable to deliver on their contracts through PBM Oversight and PBM Audits. We can help you gain:

 

CONTROL OVER COST CAPACITY TO DO MORE CONFIDENCE IN KNOWING
Drive down the cost of pharmacy
without cutting benefits.
We do the heavy lifting so you
can focus on what matters.
Find the real lowest cost PBM,
and hold them accountable to it.

 

 

So how do we do all that?

 

Pharmacy benefit costs are difficult to predict, measure and manage, which can deeply impact budgets and resource management/planning. Typical PBM practices to cut costs usually result in benefit cuts/reductions, higher member share of cost, a longer list of exclusions/reduced access, etc. This is the opposite of what you want to do, but often, benefits managers feel powerless in understanding there is a better way to manage pharmacy benefits.

 

PBM Oversight & Insights: Reduce Your Spend, NOT Your Benefits

We provide the People, Process, and Platform to deliver PBM oversight and strategic insights that lead to actionable change for quantifiable results – significant savings. In fact, employers that partner with us save up to 12% of their total plan cost.

The People – the experts – devise the strategies, define The Process to reveal strategic, actionable insights through our enabling Platform that re-adjudicates your claims against competitive bids and contracts so you can see, at a glance, actual numbers that show how PBMs compare and how they perform. Real numbers – no spreadsheets.


PBM RFP. Say Goodbye to Spreadsheets.

We reprocess 100% of your claims against your PBM proposal and other plan files to forecast total PBM spend for each bidder in the PBM RFP process for an apples-to-apples comparison of total cost, AND we include an automated, unbiased score to help you make the best decision for your plan. Say Goodbye to Spreadsheets.

 

 

One last thing...

 

We manage the RFP process for you. You give six hours of your time for the RFP process. We’ll do the rest, and will provide you with side-by-side comparisons in competitive bids. If you like that, we can also help make sure the winner is actually meeting those contract terms. Once implemented, we provide PBM Oversight to identify performance gaps, errors, overpayment, etc..., so you can recover money you never should have had to spend.

In fact, we’d like to show you what you should pay – before you pay.

We’ll share how it works, and then let us know if we can help reduce your costs 12-25%.

LET'S TALK