Optimize Self-Insured Benefit Plans
Make data-driven plan decisions to improve participant health and contain costs.
WHY PCM
Independent Plan Validation
With PCM you can ensure your benefit plan and vendor contracts are meeting guarantees, no strings attached. We provide transparent, claim-by-claim data with expert service included.
Contain Plan Costs
Put your plan data to work by identifying bolt-on solutions to improve participant engagement and cut plan costs. From switches to low-cost alternatives to Rx tourism, our suite of solutions support your cost containment strategies.
- PCM Pharmacy Savings
- Alternate Funding
- International Rx
- Rx Tourism
- Specialty Rx
- Precision PGx
Build Sustainable Benefits
PCM’s a la carte model lets you build a benefits strategy that supports plan goals, all in one place.
Built-In Features
- Comprehensive reporting
- Quick drug search
- Budget planning
- Interact with your broker
Value-Added Tools
- Rebate management
- Comprehensive reporting
- Cost containment
- Clinical review
White-Glove Engagement
- Flexible enrollment
- Participant outreach
- Limited disruption
Improve Participant Health
Better support the financial and clinical needs of your participants with greater transparency and
robust benefits.
- Eligibility and utilization review
- Fraud, waste, and abuse
- Clinical insights
- Budget planning
- Pharmacy savings
Top Resources for Plan Sponsors
BLOG
Drug Discounts: How They Affect Plan Sponsors
Drug discounts are reductions in the cost of prescription medications as negotiated by manufacturers and PBMs. Discounts usually depend on categorization and should reduce spend. Discounts affect self-insured plans in several ways.
Read
BLOG
Including Annual Market Check Provisions in Rx Benefit Contracts
In the ever-evolving healthcare landscape, pharmacy benefits are crucial in ensuring affordable medication access for patients and plans. This blog explores why annual market check provisions are necessary and how they benefit plans and patients.
Read
BLOG
Navigating Drug Shortages: How Employers Support Participants
Drug shortages are at a ten-year high, challenging patients and healthcare providers. These shortages occur when demand exceeds the available supply, leading to potential delays or unavailability of essential drugs.
Read
Optimize Self-Insured Benefit Plans
Make data-driven plan decisions to improve participant health and contain costs.
WHY PCM
Independent Plan Validation
With PCM you can ensure your benefit plan and vendor contracts are meeting guarantees, no strings attached. We provide transparent, claim-by-claim data with expert service included.
Contain Plan Costs
Put your plan data to work by identifying bolt-on solutions to improve participant engagement and cut plan costs. From switches to low-cost alternatives to Rx tourism, our suite of solutions support your cost containment strategies.
- PCM Pharmacy Savings
- Alternate Funding
- International Rx
- Rx Tourism
- Specialty Rx
- Precision PGx
Build Sustainable Benefits
PCM’s a la carte model lets you build a benefits strategy that supports plan goals, all in one place.
Built-In Features
- Comprehensive reporting
- Quick drug search
- Budget planning
- Interact with your broker
Value-Added Tools
- Rebate management
- Comprehensive reporting
- Cost containment
- Clinical review
White-Glove Engagement
- Flexible enrollment
- Participant outreach
- Limited disruption
Improve Participant Health
Better support the financial and clinical needs of your participants with greater transparency and robust benefits.
- Eligibility and utilization review
- Fraud, waste, and abuse
- Clinical insights
- Budget planning
- Pharmacy savings
Top Resources for Plan Sponsors
BLOG
Drug Discounts: How They Affect Plan Sponsors
Drug discounts are reductions in the cost of prescription medications as negotiated by manufacturers and PBMs. Discounts usually depend on categorization and should reduce spend. Discounts affect self-insured plans in several ways.
Read
BLOG
Including Annual Market Check Provisions in Rx Benefit Contracts
In the ever-evolving healthcare landscape, pharmacy benefits are crucial in ensuring affordable medication access for patients and plans. This blog explores why annual market check provisions are necessary and how they benefit plans and patients.
Read
BLOG
Navigating Drug Shortages: How Employers Support Participants
Drug shortages are at a ten-year high, challenging patients and healthcare providers. These shortages occur when demand exceeds the available supply, leading to potential delays or unavailability of essential drugs.
Read
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