Partnerships Between Coalitions

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Presentation transcript:

Partnerships Between Coalitions Rx Initiatives May 2, 2019

Our Vision & Mission A collective voice that drives Engaged Employers Advancing Healthcare A collective voice that drives optimal healthcare performance. We are the trusted advocate for employers creating a new era in health care.

PBM Group Purchasing Initiatives All programs vetted by employers Annual Symposiums – national speakers Annual, Independent PBM Audit Custom plan performance reporting Programs not PBM Dependent Services available to all group purchasing clients

Clinical Programs RightRx Program Features Program Benefits Separation of dispensing from PBM Expert, independent oversight Medical necessity and appropriateness Utilization of cost effective therapies, when appropriate Direct interaction and buy-in from prescriber Streamlined management of multiple interventions to ensure appropriate prescription drug spend Prescriber communications Member outreach Pharmacy interaction PBM Agnostic Short implementation timeline (60 days) Guaranteed ROI/Performance Outcomes Ongoing clinical reporting Prescriber and member friendly Program implementation can be irrespective of plan and/or calendar year (1st of month selected)

Clinical Programs RightRx

Clinical Programs RightRx

Clinical Programs RightRx

Clinical Programs CCS LivingConnected

Clinical Programs CCS - LivingConnected Program Features Program Benefits PBM-agnostic Member convenience – home delivery No meter changes Reduced purchasing rates – test strips and lancets Clinical program included in supply acquisition costs Insight into diabetic population (engaged and not engaged) Robust library of materials (mail, print, worksite material, educational library) Digital communications (email, SMS, videos, portal accounts) Sophisticated call center – 24/7 access to clinical support

PBM Group Purchasing Initiatives PBM Programs

Pharmacy Programs Partnership Program Differentiators Action Steps Programs not reliant on PBM selection Not anniversary date driven No additional “out of pocket” costs Programs do not shift cost to patient Mission Driven – support coalition value Vetted by Employers Answer program questions Gather interested employer data Standard pharmacy benefit data Data can be used to model both programs Modeling can identify opportunities that may exist

Thank-You