Powering a regional health plan’s ability to maximize savings
Quick View
Client
Regional health plan
Solutions
Rebate and formulary optimization services
Breakthrough Insight
Analytic, clinical and trade revealed how the Plan could increase its drug savings by an additional $250,000
Impact & Growth
$550,000
Increase in rebate yield, doubling the previous yield
The Complexity
A regional health plan was receiving rebates from their PBM but was struggling to get the level of support they wanted to manage their own formulary, and to maximize savings. Not understanding the rebate drivers, the Plan was not able to clearly equate their efforts to lower drug costs.
Cutting Through: Insights & Solutions
RemedyOne provided a rebate solution for the existing Plan’s formulary that increased the Plan’s rebate yield by $300,000. Then RemedyOne’s analytic, clinical and trade teams worked with the Plan to show how the Plan could increase its drug savings by an additional $250,000 by moving to the RemedyOne formulary.
Positive Outcomes
This regional health plan doubled their rebate yields by carving the rebate and formulary management away from their PBM and implementing RemedyOne’s formulary. There was minimal member disruption in leveraging the additional savings.
