Consulting Services

You’ll benefit from our proven, four-step process that provides the structure and sequence for our relationship and activities. Plus, you’ll receive customized reports that serve as the capstone of each step.

Monitor

Health Strategy maintains vigilance to maximize your outcomes. We identify potential issues earlier through regular monitoring. We’ll keep you apprised of changes in the market: new-to-market drugs, emerging loopholes, and ongoing optimization opportunities. Finally, we ensure the PBM is adhering to new contractual obligations and guarantees. Overall, we make sure your investment is delivering the performance and savings you expect.

Get an expert’s opinion when you need it.

When amendments are proposed by your PBM, we can serve as your interpreter and advisor. The amendments can vary from whether or not to cover a new-to-market drug to how to deal with a different pricing structure for a drug. We work to maintain the integrity of your original contract so your savings aren’t diluted significantly over the course of the contract.

Through our regular monitoring, Health Strategy can help you understand how your contract is likely to perform through the rest of the year. This helps you avoid end-of-year surprises. For example, over performance in Q1 would likely result in higher costs in Q2-Q4.

Deliverable

Quarterly Reports, Plan Design Optimization Guidance, Amendment Recommendations, and Financial Reconciliation

Health Strategy will turn the monthly claims data from your PBM into quarterly reports. You can compare actual performance with contractual guarantees to ensure projected performance is living up to expectations. Plus, we’ll help you react in the best way possible to any amendments proposed by your PBM. We’ll advise you on plan design optimization possibilities. We’ll even complete a financial reconciliation at the end of the each year to ensure you’re getting value from your contract.

Contact Us

“We engaged Health Strategy to help guide our pharmacy strategy in 2010 and have been working with them ever since. The return on investment every year has been greater than 15:1.

Health Strategy is engaged on every one of our PBM and pharmacy related calls to ensure they are up to speed on all facets of our pharmacy benefit. They weigh in and provide recommendations on all pharmacy strategy decisions. Working closely with us, they created our plan design, created a custom formulary and provide ongoing management of it. These items have allowed us to enjoy a world class 89% generic dispensing rate with significant annual savings.”

–Benjamin Ryder, Sr. Benefits Manager, Whirlpool Corporation