As a team of benefits strategists, we work hard every day to make sure we’re exceeding client expectations and providing the most innovative and value-generating plan designs and advisory services.
What We Do
Prescription drugs are one of the most complex aspects of employee benefits. To maximize your drug program’s effectiveness and minimize the drain on your bottom line, our team helps you manage the impact of escalating pharmacy benefits costs by increasing the transparency and terms of Pharmacy Benefit Management (PBM) contracts.
We find savings because we know where to look. And we know how to ensure discounts, rebates and other manufacturer-derived revenues pass through to the ultimate funders of healthcare – the employers – instead to the PBMs’ profit margins.
HOW WE’RE DIFFERENT
We offer the most experienced pharmacy benefits consulting team of any Indiana-based benefits advisory firm. Our team of Certified Pharmacy Benefit Specialists (CPBS) conducts PBM contract assessments to identify cost saving opportunities that can translate into additional revenue for your organization. With our experience we’ve been able to save our clients an average of 50% on their Rx benefits costs – without shifting costs to employees and with zero or very few disruptions to their benefits plans.
Services
Uncover Found Revenue Through Savings
CONTRACT HEALTH ASSESSMENTS
Our CPBS team will review your PBM contract to assess its strength and transparency and assign a score from A to C. With your contract health score in hand, our team audits your entire Rx benefits program to identify cost-saving opportunities.
SOURCING & CONTRACTING
Once the contract assessment is completed and action plan determined, the team sources better pricing from the current or new PBM companies. The team also ensures the commitments made are written into a strong, transparent PBM contract.
IMPLEMENTATION
Working with the PBM, third-party administrator and your team, we will guide your plan implementation from set-up to go-live. We work with you and your employees to manage the transition and minimize any potential disruption.
CUSTOMIZED MONITORING
Monitoring is a crucial tool to ensure you get what you pay for. We offer a range of customized reporting, analysis, market check/monitoring and audit services to make sure the pricing and performance of your pharmacy benefits remain aligned with the contract terms.
How Much Could You Save?
*Depends on your current contract and benefit design, covered population, medication mix and current market pricing.
Pharmacy Team
High-Cost Rx Event Recap
Global Rx Experts Share Knowledge
Employers understand that a diagnosis of cancer or a debilitating chronic disease among their workforce could result in the need for lifesaving, high-cost medications that can wreak absolute havoc on their organizations’ finances. Event attendees wanted to be better informed — and better prepared — for managing their risk. View the page linked below for thought leadership and practical tips from executives from Eli Lilly, Cigna/Express Scripts, SwissRe and Apex.
PHARMACY BENEFIT SAVINGS
$150,000 Potential Reduction in Rx Claims
As a self-funded organization, the rising cost of providing healthcare benefits was creating a financial challenge for a company with several employees who required high-cost drug regimens. A potential savings of 43% of the previous year’s Rx spend was identified.
Recent Posts
- March 23, 2022
Stop Loss and Medical Plan, Rx Savings Result in Richer Benefits
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 …
- February 21, 2022
Unlocking the Universe of Specialty Drugs and Therapies
Everyone on planet Earth seems to have a different definition of what a Specialty Drug is and is not. Let’s break this term down, along with subsets of Specialty Drugs and their key terms.
- February 4, 2022
Better Benefits in 90 | Orphan Drugs
Orphan drugs are drugs used to treat rare diseases. How rare? They appear in fewer than 200,000 persons in the United States. But even common drugs could be considered an orphan drug, which is important for health plan sponsors to …
- January 24, 2022
Better Benefits in 90 | Gene Therapies
Gene therapies are a new player in the world of pharmacy. So what do they bring to the table? While the treatments can be revolutionary toward curing diseases like blindess or even cancer, the costs of these therapies can be …
- January 18, 2022
Better Benefits in 90 | Specialty Drugs
Specialty drugs are becoming more common for treatments. But what are they? And what can they do for a benefit plan? There’s not one true answer for those questions. However, Kinetiq Health Pharmacy Benefit Practice Leader Erin Albert, PharmD, discusses …
- January 11, 2022
Ways Your Employees Can Save on Pharmacy Benefits
If your employees have ongoing prescriptions, here are some places for them to save money if they need to continue pharmacy prescriptions.
