by Iga VonGeyso | Apr 2, 2024 | Article
Prescription discount cards have existed since the 1990s but gained massive popularity following GoodRx’s launch in 2011. From PBM programs like Express Scripts’ Inside Rx, online giants like Amazon’s Rx Savings, to retail pharmacies like Walgreen’s Prescription...© Proper Consulting Group 2023 All rights reserved
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We help our clients better manage their business efficiency through a combination of contract design, benchmarking analysis, and near real-time performance dashboard.
PBMs experience constant change throughout the year, including sizable network performance fluctuations impacting client guarantees, and financial planning.
In this instance, a PBM’s current retail network contract did not represent a viable long-term response to its needs for pricing competitiveness, flexible management, and predictable outcomes. The PBM sought improved results from within the industry aligning available solutions to its specific size and scale.
The PBM required solutions catered to strengthening its operational efficiency and bolstering its economics while continuing to support its client-facing business model. Within the network contracting market, there are several pathways that lead to accomplishing these goals, but few that afford the required level of transparency and value maximization.
The Proper team conducted a benchmarking analysis of the PBM’s current retail network contract economics and terms against industry competition. Faced with contract pricing that was lagging in the market, along with obsolete definitions and caveats, Proper recommended seeking competitive bids from several vendors.
Upon selection of a new vendor, the Proper team was engaged in validating, reviewing, and negotiating the proposed agreement’s financial savings estimates, terms and conditions, and functional requirements. The new agreement necessitated significant business process enhancements in conjunction with its strong financial benefits. The Proper team facilitated the creation of repeatable, efficient processes leveraging existing data structures to measure and interpret improved performance and associated value as well as adherence to contractual obligations.
We assist our clients by simplifying their network management methods and intricate data structures through centralizing pricing and client contracts and creating versatile
data sets.
PBMs experience constant change throughout the year, including sizable network performance fluctuations impacting client guarantees, and financial planning.
In this instance, a PBM’s current retail network contract did not represent a viable long-term response to its needs for pricing competitiveness, flexible management, and predictable outcomes. The PBM sought improved results from within the industry aligning available solutions to its specific size and scale.
Proper partners with the PBM to identify inadequacies within their network and pricing management. After conducting a diagnostic, Proper can determine and offer the following solutions depending on client specific situation:
Proper’s network management engagement with just one of their PBM clients resulted in both quantifiable and qualitive improvements including: