Page 24 - Vidant Health
P. 24
Pharmacy Lockton will work in collaboration with Pharmaceutical Strategies
Group (PSG) to integrate complementary strategies across both
medical and pharmacy through plan design, clinical management,
administration, etc. In addition, having an integrated medical and
pharmacy data warehouse through Infolock will assist both PSG
and Lockton providing Vidant Health the information needed to
Pharmacy analytics make data-centric decisions with the ability to measure results.
MEMBER COST SHARE/SPECIALTY
Similar to medical, because most hospital clients are • Specialty drug predictive modeling tools
a purchaser and provider of pharmaceuticals, they are • Focus on medication adherence
able to: improvement
MEMBER DETAILED
• Leverage domestic pharmacies COST-SHARE CLAIMS OBJECTIVE AND TRANSPARENCY
• Utilize in-house clinical resources STRATEGIES ANALYSIS • Rigorous inancial valuation of proposals
• Not limited to Lockton collectives
• Align the PBM with the outpatient • Winning PBM must agree to client’s
formulary contractual provisions, guarantees, and
• Create in-house mail order SPECIALTY DRUG independent audits
SPEND
pharmacies MITIGATION PBM PROSPECTIVE COST MODELING
• Client-focused RFP
• Utilize 340B pricing, if MARKETING • Focus on key metrics
applicable Lockton Pharmacy • Financial and technical analysis
• Steer through plan design Analytics • Finalist meetings (as needed)
and networks CLINICAL
SAVINGS CONTRACT OPTIMIZATION
• Optimize and steer J-Code ANALYSIS PROSPECTIVE • Establish clear contractual deinitions
drugs domestically COST MODELING • Structure $ for $ Performance Guarantees
• Focus on a higher level of • Structure objective audit procedures
pricing transparency • Deine clear algorithms for guarantee and
penalty calculations
• Utilize domestic infusion clinics and FORMULARY CONTRACT FORMULARY AND NETWORK
resources MANAGEMENT OPTIMIZATION ANALYSIS AND RECOMMENDATION
• Specialty carve-out opportunities
(e.g., hemophilia)
Vidant Health — Lockton Total Rewards Practice overview 24 Lockton Companies
Group (PSG) to integrate complementary strategies across both
medical and pharmacy through plan design, clinical management,
administration, etc. In addition, having an integrated medical and
pharmacy data warehouse through Infolock will assist both PSG
and Lockton providing Vidant Health the information needed to
Pharmacy analytics make data-centric decisions with the ability to measure results.
MEMBER COST SHARE/SPECIALTY
Similar to medical, because most hospital clients are • Specialty drug predictive modeling tools
a purchaser and provider of pharmaceuticals, they are • Focus on medication adherence
able to: improvement
MEMBER DETAILED
• Leverage domestic pharmacies COST-SHARE CLAIMS OBJECTIVE AND TRANSPARENCY
• Utilize in-house clinical resources STRATEGIES ANALYSIS • Rigorous inancial valuation of proposals
• Not limited to Lockton collectives
• Align the PBM with the outpatient • Winning PBM must agree to client’s
formulary contractual provisions, guarantees, and
• Create in-house mail order SPECIALTY DRUG independent audits
SPEND
pharmacies MITIGATION PBM PROSPECTIVE COST MODELING
• Client-focused RFP
• Utilize 340B pricing, if MARKETING • Focus on key metrics
applicable Lockton Pharmacy • Financial and technical analysis
• Steer through plan design Analytics • Finalist meetings (as needed)
and networks CLINICAL
SAVINGS CONTRACT OPTIMIZATION
• Optimize and steer J-Code ANALYSIS PROSPECTIVE • Establish clear contractual deinitions
drugs domestically COST MODELING • Structure $ for $ Performance Guarantees
• Focus on a higher level of • Structure objective audit procedures
pricing transparency • Deine clear algorithms for guarantee and
penalty calculations
• Utilize domestic infusion clinics and FORMULARY CONTRACT FORMULARY AND NETWORK
resources MANAGEMENT OPTIMIZATION ANALYSIS AND RECOMMENDATION
• Specialty carve-out opportunities
(e.g., hemophilia)
Vidant Health — Lockton Total Rewards Practice overview 24 Lockton Companies
