RemedyOne’s 360° view of the healthcare landscape gives us an unmatched understanding of how it works, its problems and its opportunities. Your company’s unique 360° – your individual make up, position in the industry, relationships with other players and opportunities for improvement – fuels how we fashion the most effective solutions to improve outcomes for you.
Every year, companies overlook millions of dollars in rebates for drugs administered through the medical benefit, which are drugs that are generally administered by a physician. We’re changing that. RemedyOne’s Medical Rebate program negotiates and manages rebates that would otherwise be missed. We help add to earnings without changing business practices or patient benefits.
We have the most medical rebate contracts in the industry and are the best at managing these rebate contracts. The choice is simple to use RemedyOne as your medical rebate solution.
Specialty-drugs represent almost 50% of your total pharmacy cost. These therapy classes like Hepatitis C, Multiple Sclerosis, Growth Hormone and Auto Immune Conditions continue to be the highest cost categories driving your pharmacy cost increase. The good news is these drugs have competition. So with high cost and competition, there are significant rebate opportunities. Your current PBM is not sharing all these rebates with you, even though you are bearing the burden of all the cost. We’ve directly negotiated with manufacturers to deliver competitive rates. You should consider using our rates in these key areas to make sure you are controlling cost in these highly visible, high cost categories.
RemedyOne has a dedicated Trade Relations team that has the experience and expertise to get the job done. Our negotiating expertise, relationships with manufacturers and understanding of distribution-channel needs help us secure more substantial rebates across the pharmacy spectrum. We know how to deliver value to all parts of the pharmacy equation. That gets you more rebates, enhancing your business value to your existing clients and helping you win new business.
Imagine only paying for something if it delivers as promised. RemedyOne’s Value-Based Contracting delivers just that. We work with pharmaceutical manufacturers, providers and the entire supply chain in-between to develop and administer plans that pay for drugs based on performance. If a drug delivers less than it’s optimal benefit, payers receive a discount inline with unrealized performance. The program reduces risk, lowers costs and motivates collaboration that ultimately means everyone in the care continuum wins.
RemedyOne’s world-class Formulary Management services provide you with clinical and account management resources to help you compete with even the biggest PBMs. Our experts implement clinically sound, cost-effective choices to optimize outcomes while streamlining procedures. We make Formulary Management a competitive advantage that can help win more new business and make your existing clients happier.
ASO Rx 360
RemedyOne’s turnkey pharmacy ASO solution provides your pharmacy department all the resources and tools necessary to compete in a competitive PBM market, including sales and underwriting support, and broker strategy development. We help you drive results from your hard work in your pharmacy department so you can reinvest in the areas that differentiate health plans, like integration with medical and strong clinical solutions. We make your jobs more efficient so you can focus on what matters.
Medical PBM 360
Drugs administered on the medical side often slip through the cracks. You miss rebates due to the lack of information and subsequent control and management. RemedyOne’s Medical PBM 360 is a turnkey solution that lowers costs and captures medical rebates. It includes tracking, auditing and reporting, and is led by medical benefit administration experts. Our medical benefit experts help patients get the drugs they medically need, while controlling costs and ensuring everyone gets any discounts or rebates they’re are entitled to.
Effectively managing fee schedules is a process that never stops. It takes a lot of bandwidth. But if you aren’t consistently vigilant, you lose money and affect outcomes. RemedyOne’s proven turnkey Fee Schedule programs do all the work for you. Our complete solutions handle everything – design, implementation and ongoing management. RemedyOne Fee Schedule experts take the burden off of your team so you can focus on other initiatives.
We’ve created, tested and fine-tuned a complete Site-of-Service solution that covers all the bases. RemedyOne medical administration experts can install, manage and deliver all the benefits for you. You simply reap the rewards of lower costs, reduced frustration and on-target care.
RemedyOne’s Outcome-Based Consulting is focused on delivering market-leading pharmacy management solutions. There are many pharmacy consultants in the market who can show you a trick or two that the PBMs play to save you short-term money. We provide a comprehensive, long-term strategic plan that works to move your organization to a sustainable PBM solution where your PBM partner delivers on all the commitments they make to you and your customers.