Case Study

PBM Benchmark Report

PBM Benchmark Report

Pages 1 Pages

Challenge A multi-line business health system sought to validate the competitiveness of its ~50,000 member health plan’s current contract rates and secure the best possible contract for the last year of their PBM agreement. While the plan’s population and market share continued to grow rapidly, it was crucial to consid- er interim savings and improvements in the remaining year of the agreement. The health system and Axia anticipated the possibility of a full marketplace RFP while negotiating the initial contract to get the best competitive rates and im- proved contract language. Solution Axia benchmarked the health plan’s contract with the incumbent against market standards and provided de- tailed financial modeling that illus - trated an opportunity for improved financial t

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