Large employers and other self-insured groups are increasingly opting to contract for PBM services directly. This is often referred to as a “carve out.”
Why not have your plan manage it? Aren’t pharmacy benefits too complicated for an employer to handle on its own?
We designed our PBM carve-out services to be convenient and uncomplicated while providing employers with greater control over plan design, costs, and the member experience.
Based on your employee population, we help you design a plan that incorporates the right mix of features, formulary, copays, and deductibles to provide the best possible health outcomes, generous benefits, and lower costs.
|BENDING THE COST CURVE DOWN
Skeptical of PBMs claiming how good they are at managing cost trends? Don’t take our word for it, ask our clients. Whether it is gaining control of specialty costs, aggressively negotiating rebates and passing them through, or designing custom member engagement programs, we have the resources and know-how to help plans get a handle on runaway drug benefit costs.
|MEMBER EXPERIENCE AND ENGAGEMENT
For any plan sponsor, member satisfaction is critical. For a self-insured group, it is essential. Our innovative approaches to connecting with members have been proven to drive higher adherence, better outcomes, lower costs, and the best possible member experience.
We gain an understanding of your workforce and objectives, and then we work with you to develop and manage your organization’s plan design, formulary, network administration, call center, and member services. No need for dedicated staff or in-house expertise. We provide that for you.
|REDUNDANT AND ROCK SOLID
Our platform has been tested under the most challenging conditions and stood strong.
Read our case study.