A deeper
commitment.
At PHG, we measure our own success through that of our clients.
Every day, we strive to help our clients be proactive and make better clinically-based, financially sound, member-centered decisions.
We are so committed to our clients’ success that we are ready to locate our team members to their offices. This allows us to work every day as a part of their organization and understand their needs at a deeper level.
Formulary Consultation
In pharmacy benefits, nothing is more important than a properly managed formulary. It drives financial performance, population health, and member satisfaction. Getting it right takes a combination of deep clinical and financial expertise, the diverse industry relationships, an understanding of the marketplace, and a keen sense of consumer trends and behavior.
Medical Rebates
In addition to drugs dispensed at the pharmacy, many high-cost meds administered in the hospital, ambulatory center, or doctor’s office under the medical benefit are also eligible for rebates. However, requests for rebates for these drugs often go unsubmitted, leaving plans and member to bear the full cost. We help clients develop the policies and infrastructure to track eligible drugs administered at the site-of-care and capture these rebates to reduce the cost.
Rebate Management
Rebates have been the source of considerable debate recently. We think that a properly managed rebate program can maximize choices for prescribers and patients, while keeping drug costs low.
We begin with the conviction that, of all the factors that go into a rebate strategy, member health must be paramount.
That’s why, when helping our clients develop rebate strategies, we look at the prevalence of disease states across the population, demographics, the drug pipeline, and other factors.
We are uniquely able to do this because we have relationships with all of the major pharmaceutical companies and by leveraging the buying power of our industry partners. This allows us to deliver greater flexibility and lower costs for our clients and their members.
Point-of-Sale (POS) Rebates
Point-of-Sale (POS) Rebates. Get ready. They’re here. For years, many in the industry were convinced that POS rebates would limit the ability of plans and PBMs to manage overall costs and keep premiums low. According to this view, they could upend the system and require a major shift in the way pharmacy benefits are designed and managed.
We, however, see a world of opportunity. We believe POS rebates have the potential to engage consumers in their own healthcare like they have never been before. That will ultimately drive down costs for everyone.
We are also ready to help clients implement them. Today. We have the necessary contracts, analytics, and infrastructure so that consumers pay the right price at the register and the transaction is reconciled between the payer, PBM, and drug maker.
POS rebates are gaining in popularity, but they aren’t for every payer. We help clients get a handle on the challenges and opportunities.
Formulary Consultation
In pharmacy benefits, nothing is more important than a properly managed formulary. It drives financial performance, population health, and member satisfaction. Getting it right takes a combination of deep clinical and financial expertise, the diverse industry relationships, an understanding of the marketplace, and a keen sense of consumer trends and behavior.
Rebate Management
Rebates have been the source of considerable debate recently. We think that a properly managed rebate program can maximize choices for prescribers and patients, while keeping drug costs low.
We begin with the conviction that, of all the factors that go into a rebate strategy, member health must be paramount.
That’s why, when helping our clients develop rebate strategies, we look at the prevalence of disease states across the population, demographics, the drug pipeline, and other factors.
We are uniquely able to do this because we have relationships with all of the major pharmaceutical companies and by leveraging the buying power of our industry partners. This allows us to deliver greater flexibility and lower costs for our clients and their members.
Point-of-Sale (POS) Rebates
Point-of-Sale (POS) Rebates. Get ready. They’re here. For years, many in the industry were convinced that POS rebates would limit the ability of plans and PBMs to manage overall costs and keep premiums low. According to this view, they could upend the system and require a major shift in the way pharmacy benefits are designed and managed.
We, however, see a world of opportunity. We believe POS rebates have the potential to engage consumers in their own healthcare like they have never been before. That will ultimately drive down costs for everyone.
We are also ready to help clients implement them. Today. We have the necessary contracts, analytics, and infrastructure so that consumers pay the right price at the register and the transaction is reconciled between the payer, PBM, and drug maker.
POS rebates are gaining in popularity, but they aren’t for every payer. We help clients get a handle on the challenges and opportunities.
Medical Rebates
In addition to drugs dispensed at the pharmacy, many high-cost meds administered in the hospital, ambulatory center, or doctor’s office under the medical benefit are also eligible for rebates. However, requests for rebates for these drugs often go unsubmitted, leaving plans and member to bear the full cost. We help clients develop the policies and infrastructure to track eligible drugs administered at the site-of-care and capture these rebates to reduce the cost.
