Our Impact
Featured Case Study
New PBM Procurement Drives Significant Savings for Employer Group
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Health Plan Retains 5,000 Member Group with Carve-in Opportunity
AlignRx helped this health care plan retain a 5,000-member group with an interest in carving out prescription services. The client sought assistance in navigating the current prescription market and received a proposal from a coalition offering that would seemingly alleviate their concerns. On behalf of the health plan, our pharmacy consultants collaborated with the client, […]
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Employer Group Saves $1.8M on Specialty Drug Costs
AlignRx provided this employer group with guidance and a creative approach to lower their increasingly high spend due to specialty medications for only a handful of members with a specific hereditary condition. Even though this client had a long-standing relationship with a PBM, they were not proactively addressing their concerns or providing any solutions to […]
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New PBM Procurement Drives Significant Savings for Employer Group
AlignRx worked with a 1,200 member employer group to provide expertise and guidance in their efforts to procure a new PBM contract. Our team of pharmacy consultants met with the client and their benefit advisors to discuss and help identify their specific needs. We performed a comprehensive assessment of the claims files and existing PBM […]
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Flexible Pricing Model Helps Health Plan Drive Savings
AlignRx partnered with this regional healthcare provider to address client retention issues and increasing market pressure to develop a more flexible pricing model. Our pharmacy consultants performed a comprehensive assessment of the current pricing model to develop the design of a new, comprehensive three-tiered pricing model. Our team also helped to ensure the new model’s […]
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PBM RFP Creates $7.5MM in Annual Savings
In order to ensure all participants were underwriting their proposal using the same terms, a strict minimum bid requirement was developed specifically for this group, and all bidders were required to agree to all the terms before being included in the RFP process. Once the participants were established, the fully customized RFP was distributed, reviewed […]
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