Find recent examples of how we work with our clients to help them navigate complex, costly and challenging healthcare issues to achieve valuable savings.
PBM Benchmark Report
Case Study | Health Plans | PBM | Benchmark, Financial Modeling, Negotiation
A multi-line of business health system sought to validate the competitiveness of its current health plan’s contract rates and secure the best possible contract for the last term of their PBM agreement. Learn how the Axia team secured savings exceeding $1.3 million while improving contract language, reducing the administrative fee and increasing the Pharmacy Management Fund.
PBM Full Marketplace RFPCase Study | Health Plans | PBM | PBM RFP, Analytics, Financial Modeling, Oversight
A regional health plan was in a 15-year PBM partnership and had a goal to secure more competitive services and financial guarantees for its managed retail, mail service and specialty pharmacy programs. Axia was able to help the health plan achieve savings of $98 million over the 3-year contract compared to its previous contract terms.
PBM Marketplace EvaluationCase Study | Health Plans | PBM | Market Check/Marketplace Evaluation, Proprietary Database
A regional health plan needed stronger contract pricing with its incumbent PBM. The contract was no longer competitive compared to marketplace pricing; multiple aspects of the contract needed to reflect the latest industry standards. With Axia Strategies’ expertise, the client achieved $18 million savings over the remaining contract term.
PBM Single Vendor RFPCase Study | Health Plans | PBM – Medicaid | Single Vendor RFP, Negotiation
To meet the strategic and regulatory demands in the Medicaid marketplace and to reduce overall plan spend, a health plan based in the Northeast sought the help of the Axia Strategies team to aid in a competitive renewal and contract extension. Through negotiation, Axia secured a $10 million savings for the client.
Ancillary Benefits StrategyCase Study | Not-for-Profit Organization | Strategic Vendor Partnerships Evaluation | Ancillary Benefits Strategy
A not-for-profit organization recognized the one constant their 2+ million members endured was a continual increase in their out-of-pocket healthcare costs. The organization wanted to offer an ancillary benefit program to their members but didn’t have the resources or expertise to develop this type of offering. Coupling Axia’s expertise with the collaboration of a best-in-market administrative partner, members are seeing savings of 15% – 60%.
For more information, please contact Mark Romie at 952-945-3535 or simply submit the form below.