ADVANCED CLINICAL INSIGHTS

2024-07-11T15:38:11+00:00

Advanced 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

2024-07-30T21:24:36+00:00

Winning 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

2024-07-30T21:23:32+00:00

Self 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

2024-07-30T21:26:14+00:00

Risk 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

2024-07-11T15:40:38+00:00

Specialty 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

2024-07-11T15:41:11+00:00

PBM 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

2024-07-11T15:42:10+00:00

Claims 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 [...]