Health Plan Consulting

Solutions > Health Plan Consulting

Our solutions are designed specifically with health plans in mind

ASORx360 is a comprehensive solution that allows health plans to thrive in a competitive landscape. It’s fully customized to your plan’s unique needs, providing underwriting support to ensure your deal is competitive, and helping you create a world-class stand-alone pharmacy benefit group contract. ASORx360 provides robust health plan consulting that addresses your key gaps, ultimately increasing the number of lives carved into your plan.

ASORx360 focuses on growth, profitability, and risk reduction

PBM Management, Procurement, & RFP Support

Our proprietary procurement process integrates the most meaningful areas of impact including clinical solutions, account services, member disruption, financial savings and outcomes. Utilizing AlignRx RFP support will ensure compliance with RFP requirements, pricing review, financial provisions, and clinical programs. Our team of experts will evaluate your contracts to lower your overall cost by addressing areas such as discounts, contract exclusions, tier deltas and more – finding clients an average savings of 20%.

Audit Services

Through our robust audit solution, AlignRx has recovered millions of dollars for our clients while also ensuring their benefits are being administered correctly. If you are not auditing your PBM utilization, you are leaving money on the table for both your plan and members.

Trend Management Programs

AlignRx has a full suite of trend management programs that drive trends down. This includes custom formularies, specialty copay solutions, and physician detailing programs.

Custom Underwriting & Market Support

Through enhanced underwriting capabilities and competitive market support we better position you for success in the market with pricing tier development, group underwriting, optic utilization, and repricing support. Each of these services, along with our market intelligence can help you win and retain business in your marketplace.

Medical Injectables & Fee Schedule

Effectively managing your medical injectable fee schedule is a continuous process that requires a tremendous amount of energy and diligence. AlignRx offers a comprehensive medical injectable fee schedule program which helps make the process simple and easy.

Group Support

From group contracts, audit services, and reporting needs, our team will ensure you have the resources needed to provide your groups with access to best in class contracts, oversight, analysis, and reporting. Leverage our resources to show the value your health plan provides with information on disruption, pricing reconciliation, trend reporting and more.

Sales & Account Management Support

Let us help you prepare your plan for market challenges and find opportunities within your market with our sales and account management training, sales playbook development, and sales collateral evaluations.

Clinical Strategies

Formulary strategy, clinical savings guarantees, and leveraging clinical capabilities to drive new revenue opportunities.

Broker Strategies

At AlignRx, we know that having a broker strategy is key to Rx membership growth. Our team can assist in formulating your broker strategy around commissions, communication, and key factors that drive business.

Talk to our team of experts today

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