Case Studies

A family employed by an Apex were seeking answers and resources as they navigated their child’s complex health challenges. Apex’s Second Opinion Program connect them with world-renowned experts and vital local support.

A county government with 100 employees partnered with Apex to implement reference-based reimbursement. Over the next 6 years, they experienced sustained savings on both health care spend and PEPM costs.

A county government with over 450 employees partnered with Apex to implement reference-based reimbursement and saved millions over 7 years, decreasing their PEPM costs in the process.

A no-risk, no-obligation review of the current PBM contract and recent claims uncovers over $10,500,000 in savings for a global manufacturer.

A holistic peer review identifies significant savings and opportunities to reduce administrative burden for a small HR team serving 500 employees around the globe. Basic broker services were replaced with a strategic partnership that created deep, sustainable cost savings.

Prior to Apex becoming the strategic advisor, this client also had a near-site clinic available to all members on the medical plan. After a thorough review of clinic data, our team found that the cost per visit exceeded $225 due …

Working closely with the insurance company’s reinsurance and pharmacy teams, the Kinetiq Health team came up with a solution to purchase the treatment directly from the manufacturer at actual cost while the hospital continued administering the dependent’s infusion therapy each …

After reviewing the language of the pharmacy benefit management (PBM) contract that determined the terms and cost variables, savings opportunities were identified without changing any benefits to employees.

MSD of Wayne Township was dedicated to employee health and wellness prior to engaging with Apex Benefits and its Kinetiq Health team in late 2019. While mostly satisfied with their wellness program, the school system was looking for opportunities to …

MSD of Wayne Township was dedicated to employee health and wellness prior to engaging with Apex Benefits and its Kinetiq Health team in late 2019. While mostly satisfied with their wellness program, the school system was looking for opportunities to …

The client made a switch in consultants to Apex just before the beginning of the fourth quarter and had already started the renewal negotiation process. The former consultant’s negotiated renewal rate suggested increased costs of $208,000.

The savings found were substantial for the client. After discounts, rebates and fees the annual identified pharmacy savings were $110,156 for the client. Apex also discovered additional savings through clinical and specialty drugs of another $100,581. Those combined savings cut …