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Thursday, September 27, 2007 

Pharmacy Benefits - Proactive Rx Management

Healthcare control and transparency for employer groups is essential with the state of healthcare costs today. Proactive management of Pharmacy Benefits can significantly reduce overall healthcare costs. Prescription drug claims are non-catastrophic and serve as a profit center for insurance carriers, making Rx plans ideal for self-funding. Effectively removing profit and revenue streams typically drives:

  • 15% savings for existing self-funded groups
  • 35% savings on groups currently fully insured
  • 6-10% savings to overall plan performance when proactive management is added

As an ancillary product, the prescription drug benefit can be carved out of your health plan and be replaced with a more competitively priced plan. This will not only save money, but also improve the health of your employee population. Some advantages to a properly structured program include:

  • Manage and understand your prescription drug benefit, instead of simply paying premiums
  • Gain insight into your benefit through useful, comprehensive reporting and analysis
  • Benchmark your plan's performance vs. public, private, unions, non-profits and government groups
  • Identify areas of savings opportunity
  • Educate and inform your employees about how to best manage the drug plan, and their health

The best way to reduce long term health care costs is to use less health care, without restricting access or quality. Most Wellness and Disease Management programs are passive and reactive. However, an effective, proactive program will use Rx predictive modeling to identify risk before catastrophic medical claims occur.

An often overlooked opportunity to save on employee healthcare is within your Pharmacy Benefit Program. An effective program, utilizing proactive management, can allow significant savings. Unlock the potential hidden in your Healthcare program and you can:

  • Maximize your healthcare dollars by getting a clear understanding of vendor fees
  • Reduce the cost of your healthcare dramatically utilizing discounts and data
  • Retain good people with innovative programs
  • Increase your level of service that is measurable by the decreased work load of HR staff and satisfaction of employees

Find more information about Group Benefits and HR related issues at http://www.GroupBenefitsInsurance.com

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