Pharmacy Consulting
Why Pharmacy Consulting?
25% of healthcare spending is in Rx, making it essential to maximize the efficiency of your company's spending in this area.
Where Our Consulting Services Can Help
Cost efficiency: We ensure employers understand their healthcare expenditures related to prescription drugs. By analyzing pharmacy benefits data, we identify cost drivers, trends, and areas for cost containment or optimization.
Healthcare Quality: We provide insights into medication usage, adherence rates, and health outcomes. By understanding how employees utilize prescription drugs, companies can promote better medication management, enhance health outcomes, and improve overall healthcare quality for their workforce.
Strategic Planning: Our services enable companies to make informed strategic decisions by evaluating the impact of benefit decisions, assessing the effectiveness of pharmacy benefit programs, and tailoring their offerings to meet the needs of employees while balancing cost considerations. This strategic approach helps companies optimize their healthcare benefits to attract and retain talent, support employee well-being, and achieve their business objectives.
How It Works
We take in your PBM contract and raw pharmacy claims to perform a deep dive analysis of your pharmacy plans performance and fulfilment of your contractual terms from your PBM.
- Benefit Plan Architecture – Evaluate current benefit design, analyze alternative options, and research available options from PBM with corresponding cost/savings projections.
- Request for Proposal – Conduct full-scale market evaluation or expedited procurement process. Thorough analysis of results. Contract negotiation. Implementation support.
- Service Agreement/Contract Review – Assess the current agreement structure (key terms, definitions, clauses, pricing, guarantees). Oversee the negotiation and renewal process
- Financial Reporting – Cost reporting measuring the results of the plan versus PBM contractual terms. Retail, mail, specialty, rebate performance analysis.
Ready To Get Started?
Let's talk! Reach out to schedule a consultation. We look forward to working with you!
Jackson Viertel
563 580 0515
jviertel@benefits-transformation.group