From High Cost to Free of Charge Rx Advocates Identified for high-cost drug management and alternative sourcing Filled free of charge through a Manufacturer's Assistance Program No missed medications, thanks to our Patient Assistant Program The Situation One of our [...]
ADVANCED CLINICAL INSIGHTS
Barbara Grundy Evans2024-01-08T19:38:29+00:00Advanced Clinical Insights Annual Savings of $226,705 Annual Savings of $226,705 1st-Year Savings Achieved $351,485 in Rebates The Situation A pharmacy analysis was performed for a California employer receiving pharmacy benefits bundled through their medical carrier. The incumbent program lacked accountability with [...]
WINNING THE BID: HOW BOUTIQUE BEAT NATIONAL
Barbara Grundy Evans2024-01-31T21:47:22+00:00Winning the Bid: How Boutique Beat National Saved more than $1.3 million vs renewal Showed a 2% increase vs current rates Pre-identified 4 members for alternative med & Rx savings programs The Situation One of our broker partners runs a [...]
SELF-FUNDED PLATFORM: CONTROLLING COSTS AT RENEWAL
Barbara Grundy Evans2024-01-31T21:48:10+00:00Self Funded Platform: Controlling Costs at Renewal Increased surplus retained from $0 to $1.7 million in one year Reduced claims spend by 47% over one year Saved more than $350,000 in claims through med & Rx intervention The Situation One of [...]
RISK REDUCTION: ELIMINATING $800K OF CLAIMS EXPENSES
Barbara Grundy Evans2024-01-09T20:31:13+00:00Risk Reduction: Eliminating $800k of Claims Expenses Initial fully-insured renewal from carrier Identified 2 high-cost claimants Crumdale’s risk control brought the group’s renewal to 12% The Situation A lumber company in the Northeast had been offering a fully insured medical [...]
SPECIALTY RX SOLUTIONS: COST MANAGEMENT
Barbara Grundy Evans2024-03-19T20:21:20+00:00Specialty Rx Solutions: Cost Management Total reduction in NET medication costs $17,300 in per month savings for the plan & member Reduced total medication cost to $700 per month The Situation One of our brokers had an industrial client who [...]
PBM CARVE-OUT PLAN: SAVING NEARLY $3 MILLION IN A YEAR
Barbara Grundy Evans2024-03-19T20:22:18+00:00PBM Carve-Out Plan: Saving Nearly $3 Million in a Year Savings due to improved discounts Unlocked hidden and improved rebate value Client’s total savings The Situation One of our brokers had a city government client in the Southeast who felt [...]
CLAIMS MONITORING: ACTIVELY IDENTIFYING SAVINGS
Barbara Grundy Evans2024-03-19T20:23:08+00:00Claims Monitoring: Actively Identifying Savings Identified and re-priced by Crumdale for higher discounts The amount originally requested from the group by the TPA Savings when in-network claims were correctly processed with only $3K due from the group, NOT $45K+ The Situation [...]