What Your PBM Doesn’t Want You To Know - Delivering Savings and Better Care with Financial and Performance Transparency

Event Date: 5/9/2019

Event Overview

Thursday, May 09, 2019
11:00 AM CT – 12:00 PM CT (60 minutes)
Vendor Spotlight Host: Truveris

This vendor spotlight is hosted on our ReadyTalk platform

Health plan sponsors contract with their PBM to provide low medication prices and operational efficiency. Yet, the financial incentives of most PBMs lie with dispensing medication rather than with managing your benefits. Further, PBMs can’t truly benchmark because they don’t have visibility into the claims managed by other PBMs. Truveris does.

There are reasons that one plan performs at an overall pharmacy spend of $70 PMPM while another is at $100 PMPM. It takes a strategy that is driven by analytics that make things transparent and establish clear benchmarks.

In this webinar, pharmacy benefit experts Rahul Singal, MD and Ryan Hanes, MBA will demonstrate how to create transparency throughout every stage of your PBM contract life-cycle, as well as align your internal management team to focus on a few key metrics and benchmarks.

Learn how to navigate even the most obscure elements of your PBM contract including:

Managing high-cost generics –
How to analyze your claims data to identify better solutions for managing high cost generics based on your unique member population
Recognizing the impact of your contractual guarantees –
How the guarantees listed at the beginning of your contract are often offset by caveats buried at the end – many which drive dispensing volume to the PBM’s preferred channels, increasing their profits
Understanding your formulary strategy–
How to analyze your formulary strategy to ensure you are maximizing your PBM’s performance and pursuing the lowest-cost options
Preventing specialty leakage –
How to identify when your specialty dispensing is noncompliant, under-reimbursed, overutilized and/or being inappropriately dispensed and what to do once you find it

Notice to Participants:
Please note that this webinar is a Vendor Spotlight and will be a capabilities-focused presentation. While this vendor is not under contract with the Health Plan Alliance, we believe this webinar will provide you the opportunity to learn more about this vendor and the programs and services it provides. Offering this webinar does not imply that the Health Plan Alliance endorses this vendor. The webinar is merely for informational purposes only. Should you wish to share feedback and/or have questions about this vendor, please contact Jaime González, the Alliance’s Chief Business Development Officer, at jaime.gonzalez@healthplanalliance.org or 972-830-6355.

Documents

5/9/2019

Truveris GPO Offering
The document provides an overview of Truveris' GPO offering.

5/9/2019

Recording: Truveris - What Your PBM Doesn’t Want You To Know
This video recording demonstrates how to create transparency throughout every stage of your PBM contract life-cycle, as well as align your internal management team to focus on a few key metrics and benchmarks.

5/7/2019

Presentation: What Your PBM Doesn't Want You To Know - Delivering Savings and Better Care with Financial and Performance Transparency
Truveris pharmacy benefit experts Rahul Singal, MD and Ryan Hanes, MBA demonstrate how to create transparency throughout every stage of your PBM contract life-cycle, as well as align your internal management team to focus on a few key metrics and benchmarks.