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Dramatic advances in prescription drugs have the potential to improve and save lives—but these improvements come at a cost. Milliman can help you address the full spectrum of pharmacy benefit challenges, from pharmacy benefit manager (PBM) selection to plan design to Medicare Part D consulting, our experienced experts and smart technology are here for you.
Get favorable contracts and better pricing by leveraging our expertise and understanding of the pharmacy benefits market. We assist with the entire PBM lifecycle, including RFPs, implementation oversight, ongoing support, and audits.
Gain flexibility for your organization and your members with an effective pharmacy benefits plan model. Our rich data and powerful analytic tools help identify the best strategy for your goals.
Building effective Medicare Part D offerings requires a thorough understanding of your options and the complex regulations involved. From plan design to formulary review, compliance planning to star rating improvement, Milliman has market-leading expertise in all things Medicare and can help you with any challenge.
When seeking ways to keep expenses under control, plan sponsors may overlook the value of claims auditing.....
As drug costs continue to rise, states need to engage in strategies that include policy and nonpolicy options to manage prescription spending in Medicaid.
A review of best practices for plan sponsors in evaluating clinical programs offered by pharmacy benefit managers.
One of the most important ways plan sponsors can lower healthcare costs without significantly changing their benefits is to look for opportunities to improve their pharmacy benefit manager (PBM) contract.
Auditing the administration of the pharmaceutical manufacturer rebate program, including dollars paid, is a proven strategy for improving plan sponsor profitability, prescription drug affordability, and the management of…
Employers and other plan sponsors have the option of carving in or carving out their pharmacy benefit program from medical benefits. Which strategy is right for you?
Is your PBM delivering ROI? Learn how to improve your RFP and contracting processes to get more value from the relationship.
Make high-quality financial comparisons of provider medical reimbursement rates across large insurance carriers.
Compare contracted discount rates and savings with real-time pharmaceutical claims experience reporting.
IntelliScript combines industry-leading data and analysis to provide insurers the knowledge, tools, and insight to confidently assess risk.
Deliver detailed, personalized Medicare plan price comparisons through a simple, web or API experience.
Identify opportunities to manage specialty pharmacy costs for existing and new drug therapies.
Demystify payer and provider contract pricing data for better transparency across the industry.
Analyze the emerging market to support underwriting, pricing, and product development.
Ask the tough questions. We’re ready for them.