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