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THE CHALLENGE
Unsophisticated reporting processes lead to poor decisions
THE SOLUTION
DYNAMIC PHARMACY ANALYTICS AND REPORTING IN ONE TOOL
Milliman SkySail
Milliman SkySail, combined with Milliman’s expertise, helped the client avert potential financial discrepancies and gain insights to effectively negotiate with its PBM.
Milliman introduced a reverse auction RFP strategy using Milliman Skysail, which resulted in savings estimated to range from $20 million to $40 million.
Using SkySail, Milliman’s assessments revealed numerous opportunities for pricing improvements, underscoring the benefits of active management and expert analysis.
Adopting SkySail revolutionized the pharmacy’s data processing system, leading to a significant reduction in operational costs and time required for data analysis.
In this series of articles, Milliman consultants explore a range of issues relating to PBM best practices.
Is your PBM delivering return on investment? Learn how to improve your RFP and contracting processes to get more value from the relationship.
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.
Effective PBM contracting can have a significant impact on the cost of prescription-drug benefits.
This paper looks at the pharmacy benefit manager (PBM) implementation process and identifies key items to consider for a successful rollout, including before and after the launch.
