2024 Rxbenefits - Biography. Kristi Savacool is the Chief Executive Officer for Private Health Management and serves on its Board of Directors. She has more than 30 years of executive leadership experience in the health, professional services, and technology industries. Previously, she served as CEO of Aon Hewitt, the global human resources solutions business of ...

 
Working with RxBenefits, the hospital experienced a more transparent, collaborative relationship aligned with its goals. RxBenefits’ total solution helped the hospital rein in its high-cost prescription drug spending and provided needed support for its in-house pharmacy and 340B program successes.. Rxbenefits

What is drugflation? The concept is simple enough: Drugflation is the term used to describe the skyrocketing increase in drug benefit costs that are sending healthcare spending into the stratosphere. The fastest growing component of healthcare spend (which is predicted to rise 7.1% a year over the next five years) pharmacy plan spending is ... This cycle leads to a rise in drug prices that ultimately impacts the consumer – especially when coinsurance is involved. For example, if a drug has a list price of $1,000 with a $500 rebate to the plan sponsor, the net cost of the drug is $500. However, if the member has a 50% coinsurance, they actually pay $500 …Aug 4, 2021 · RxBenefits, a leading technology-enabled pharmacy benefits optimizer (PBO), today announced an agreement to acquire pharmacy benefits consulting firm, Confidio, pending regulatory approval. The pending transaction will bring together two premier, complementary providers of pharmacy benefits services, significantly expanding the combined company ... To take advantage of the 340B opportunity, hospitals must meet eligibility criteria to be considered a covered entity, and each prescription must meet specific criteria to qualify for 340B pricing. As a … Nathan is an avid golfer, fisher, and farmer with livestock including a donkey. 2. Nathan was raised in a small town in New York. 3. Nathan and his wife Serena, a native Floridian, have two young children. Speak to an Expert. Nathan White, Chief Client Officer, joined RxBenefits in 2017 with more than 18 years of experience in pharmacy client ... There are more than 6,000 hospitals in the U.S., and 57% of those are non-profit or community hospitals. Because of the pandemic, in 2020 hospitals were faced with new challenges.RxBenefits is a technology-enabled pharmacy benefits optimizer (PBO) with more than 750 pharmacy pricing, data, and clinical experts working together to deliver prescription …Using Nexium as an example, here is how the cost might look with DAW penalties in place: Nexium costs $250 and the generic costs $30 post-discount. The member pays a higher non-preferred brand drug copay of $40 plus the difference between $250 and $30, which is $220. The total cost to the member to receive …Secret Benefits - Where Experienced & Attractive People MeetIntroducing our New Chief Executive Officer, Wendy Barnes. Wendy Barnes joins RxBenefits with over 25 years in healthcare management. Prior to joining our team, Wendy served as the president of Express Scripts Pharmacy, where she led her team to achieve service, operations, and financial success across multiple consumer-centric …Our Pharmacy Benefits Inflation Tracker tool aggregates real RxBenefits Book of Business data to examine trend and inflation on drug pricing. The tool updates monthly to give a real-time view of what is occurring in the market as a means to mitigate wasteful spending.RxBenefits is a trusted partner and adviser to employee benefits consultants wanting to offer their clients the best possible value and service for their self-funded clients. And were the pharmacy benefits solution provider of choice to those clientsemployers looking to protect their own financial well-being while also …RxBenefits is a new generation pharmacy trend management firm serving forward-thinking brokers and their clients. Show less Senior Consultant Intelyx, llc Jun 2014 - ...RxBenefits Summit Club award trip for achieving greater than 125% of plan. Finished the year at 230% of goal and most number of regional groups sold. EyeMed's President's Club Home - RxBenefits PromptPA Portal. Before you get started, in addition to your insurance card, you will need the following information. This information can be obtained by contacting your prescribing physician. Our no-cost analysis provides deep insights into 10 crucial areas of your client’s current contract and plan performance. First, a high-level overview of how the current contract and pricing arrangement …Craig has more than 25 years of experience in the healthcare/insurance field, including more than 18 years in business development roles. Prior to joining RxBenefits, he served in strategic leadership roles at SCIO Health Analytics, OptumHealth Insights, UnitedHealthcare, and Anthem. Craig holds a Master of …Our no-cost analysis provides deep insights into 10 crucial areas of your client’s current contract and plan performance. First, a high-level overview of how the current contract and pricing arrangement …The 340B expert team at RxBenefits will continue to monitor this evolving situation and provide updates. Disclaimer: Interpretation of laws will vary by PBM, state, and a variety of factors beyond the scope of this post. Nothing herein should be construed, or relied upon, as legal advice. Each plan sponsor is responsible for determining the ...RxBenefits has launched two new solutions to help its self-insured clients and patients access available drug assistance programs. Specialty medicines now account for 55% of medication spending in the United States according to IQVIA. Officials with RxBenefits said costly specialty drugs challenge plan sponsors in … RxBenefits, Inc. | 33,923 followers on LinkedIn. Advocacy. Expertise. Service. | Founded in 1995 and headquartered in Birmingham, AL with an office in Towson, MD, RxBenefits is the employee ... At RxBenefits, Bradley blends his retail pharmacy and managed care experience to help clients address their pharmacy concerns and focus on strategies to manage drug costs. “Giving less than 100% of yourself to a task or cause is like giving 100% of nothing to that task or cause” is the motto that Bradley strives to live by when it comes …RxBenefits, a technology-enabled PBO that delivers pharmacy cost savings to self-insured employers and SMBs, has completed a recapitalization valued at $1.1 …Optimize Member Health andControl Costs Associated WithPoorly Managed Diabetes. Diabetes is a top-3 driver of pharmacy and medical spend for employers. For most plan sponsors, medications for diabetes and metabolic syndrome — also known as pre-diabetes — are a top expenditures. Diabetes is also a condition that …RxBenefits’ hospital solutions can help you optimize your in-house pharmacy. Our dedicated In-House Pharmacy Team can help you make the most of it, with proactive communications ahead of any potential member impact, test claims and detailed financial reporting, and full transparency regarding pharmacy performance, to … In 2023, we grew our Member Services team by 50% to accommodate unprecedented demand. And our already award-winning member service is even better with our new member portal, putting easy access to benefits and communication with our team in the palms of our members’ hands. Mon – Fri 7:00am – 8:00pm cst800.334.8134 [email protected]. Jan 31, 2023 · What Benefit Plan Sponsors Can Learn from Weight-Loss Sensation Ozempic. Ozempic, an FDA-approved medication originally developed to treat type 2 diabetes, is making waves among consumers for its rapid weight loss results. Before Ozempic’s mass media exposure in late 2022, the drugs’ slimming side effects weren’t well known by consumers ... RxBenefits is a technology-enabled pharmacy benefits optimizer (PBO) with more than 750 pharmacy pricing, data, and clinical experts working together to deliver prescription benefit savings to employee benefit consultants and their self-insured clients. With nearly 3 million members, we bring market-leading purchasing power, independent ...RxBenefits’ rebate yield for our book of business two years ago was 17%. Last year, it was 22%. That shift is indicative of both utilization and AWP. Drug Rebate Benefits. Rebates are paid on a per-claim basis, but the employers we work with have some insulation and protection because they have rebate guarantees …RxBenefits is a new generation pharmacy trend management firm serving forward-thinking brokers and their clients. Show less Senior Consultant Intelyx, llc Jun 2014 - ...RxBenefits, Inc. Sep 2021 - Present 2 years 6 months. RxBenefits serves as a trusted pharmacy adviser to employee benefits consultants and the pharmacy benefits solution provider of choice for ...Bryan Statham joined RxBenefits in 2005, drawing upon a successful career in the healthcare and pharmacy benefits industry at companies such as Complete Health and UnitedHealthCare. Based on Bryan’s experience, it became clear to him that being an expert in optimizing pharmacy benefits for self-insured employers … Our Business Philosophy: 1. Protect clients' interests, demonstrating unwavering integrity and professionalism. 2. Serve as an indispensable, independent partner, enriching relationships with our knowledge and expertise. 3. Provide our clients with quantifiable value, delivering meaningful and measurable financial results. 4. The RxBenefits Difference. With RxBenefits independent PA reviews, there is an actual person following the process. Because of our hands-on approach, you can rest assured knowing your members’ medications are reviewed individually by a team of professionals, not an automated system.RxBenefits and Confidio share a passion for optimizing both the economic and clinical value derived from pharmacy benefits for plan sponsors and the combined 3 million member lives -- and growing -- that the organizations serve. "Pharmacy is a scale-driven business, ...RxBenefits, a technology-enabled PBO that delivers pharmacy cost savings to self-insured employers and SMBs, has completed a recapitalization valued at $1.1 …RxBenefits Among Inc.’s Second Annual Power Partners Award Winners. 3 min read October 24, 2023. Posts navigation. Older Posts. Enjoy our latest blogs, white papers and news by signing up for our newsletter today! Email * General Information. 800.377.1614. [email protected]’m the CEO of RxBenefits, the industry’s first-of-its-kind Pharmacy Benefit Optimizer… · Experience: RxBenefits, Inc. · Location: Charlotte Metro · 500+ connections on LinkedIn. View ...Last updated on 11/20/2023. General Information. (800) 377-1614. [email protected]. Client Services. (866) 769-5987.by RxBenefits April 7, 2021 4 min readin Industry News. Anti-steering laws are designed to prohibit pharmacy benefits managers (PBMs), or insurer-owned pharmacies, from profiting off prescriptions “steered” from their PBM and insurance affiliates to in-house or mail-order pharmacies they own. Such laws have been … This innovative Amwins – RxBenefits offering was designed with forward-thinking employers in mind to engage in a suite of solutions that provides: − Highly competitive stop/loss and pharmacy contract pricing and terms. − Enhanced pharmacy clinical support. − Manufacturer assistance for high-cost specialty drugs. − Cost mitigation for ... by RxBenefits December 22, 2023 2 min readin Meet the Expert. Growing up in the Northeast, RxBenefits Senior Director of Clinical Initiatives Paul Fortunato had rare access to the entertainment industry, which would have a hand in his lifelong appreciation for the arts. “My mother was a New York City executive negotiating …Optimize Member Health andControl Costs Associated WithPoorly Managed Diabetes. Diabetes is a top-3 driver of pharmacy and medical spend for employers. For most plan sponsors, medications for diabetes and metabolic syndrome — also known as pre-diabetes — are a top expenditures. Diabetes is also a condition that …Optimize your pharmacy benefits with RxBenefits, the leading PBO that helps you save costs, improve outcomes, and enhance service. Learn how RxBenefits can tailor a … This innovative Amwins – RxBenefits offering was designed with forward-thinking employers in mind to engage in a suite of solutions that provides: − Highly competitive stop/loss and pharmacy contract pricing and terms. − Enhanced pharmacy clinical support. − Manufacturer assistance for high-cost specialty drugs. − Cost mitigation for ... Email Member Services. or call member services at. 800.334.8134. Stay in the know! We pride ourselves on quick response time to your inquiries. If you have a question, pick the appropriate team to contact and we will be happy to help! Diabetes drugs are consistently in the top three cost-driving therapeutic classes for pharmacy benefits, and they accounted for 18% of total gross cost for RxBenefits’ Book of Business in 2022. 1. The growing costs in this category can be attributed to more Americans developing Type 2 diabetes and an increased interest in …RxBenefits offers consultants a superior alternative to traditional PBM arrangements by providing a comprehensive, multifaceted suite of solutions for layered protection. These solutions include market-leading purchasing power and contract expertise, independent clinical oversight to ensure the pharmacy benefit remains both …RxBenefits General Information Description. Provider of pharmacy benefit procurement and administration services intended for employee benefits consultants and self-insured employers. The company operates as a Pharmacy Benefits Optimizer (PBO) delivering prescription drug program, which is an alternative to …Last updated on 11/20/2023. General Information. (800) 377-1614. [email protected]. Client Services. (866) 769-5987.Contact Member Services. There’s a reason we’re so proud of our Member Services team. Unlike typical automated call systems, our members get prompt access to live, …With a PBO, self-funded employers can rely on the expertise of pharmacy benefits experts to help them navigate the challenges in the market. Services, such as managing eligibility, account management, clinical programs, and reporting, are a core part of the PBO experience. What sets the PBO apart is its ability to focus on customer …Optimize Member Health andControl Costs Associated WithPoorly Managed Diabetes. Diabetes is a top-3 driver of pharmacy and medical spend for employers. For most plan sponsors, medications for diabetes and metabolic syndrome — also known as pre-diabetes — are a top expenditures. Diabetes is also a condition that …Introducing our New Chief Executive Officer, Wendy Barnes. Wendy Barnes joins RxBenefits with over 25 years in healthcare management. Prior to joining our team, Wendy served as the president of Express Scripts Pharmacy, where she led her team to achieve service, operations, and financial success across multiple consumer-centric …Top 3 Pharmacy Benefit Managers Ready to Meet New RxDC Reporting Deadline. 2 min readJanuary 6, 2023.RxBenefits is a technology-enabled pharmacy benefits optimizer (PBO) with more than 500 pharmacy pricing, data, and clinical experts working together to deliver prescription benefit savings to employee benefit consultants and their self-insured clients. With nearly 2 million members, RxBenefits brings market-leading purchasing power ...Feb 5, 2024 · Build Better Benefits with A Pharmacy Benefits Optimizer (PBO) Plan sponsors—from small to large companies, to hospitals and health…. 6 min readFebruary 5, 2024. In an industry run by giants, RxBenefits is leveling the playing field for employee benefits consultants and their employer clients. Mark serves on the RxBenefits Board of Directors and is responsible for transaction origination, investment policy, fundraising, investor relations, and the general management of Great Hill Partners. His investment experience covers a broad group of industries, including health care, financial technology, telecommunications, …RxBenefits. RxBenefits is a technology-enabled pharmacy benefits optimizer (PBO) with more than 750 pharmacy pricing, data, and clinical experts working together to deliver prescription benefit savings to employee benefit consultants and their self-insured clients. With nearly 3 million members, we bring …“RxBenefits is the industry’s only fully independent, client-aligned, multi-PBM platform delivering tangible pharmacy savings, optimized clinical outcomes, and a superior customer experience,” said Bryan Statham, Chief Executive Officer of RxBenefits. “Advent brings a robust track record in the …RxBenefits’ Independent Prior Authorization Review Process. Prior Authorizations (PAs) can be a headache for members but are necessary in ensuring that they receive only the safest, most cost-effective therapies for their condition. Our simpler, hands-on approach to prior authorizations offers a vital layer of protection against …The 340B Drug Discount program was created by the Federal government in 1992 to support healthcare providers that serve low-income, Medicaid, uninsured, and underinsured populations. The 340B program helps these facilities continue to provide care to all patients, regardless of their ability to pay. Under the 340B program, drug …My Time At RxBenefits. Data Integration Analyst (Former Employee) - Birmingham, AL - November 15, 2022. I worked at RxBenefits, Inc. as a contractor through an agency in Birmingham, AL. My time there was pretty decent. The workload was not too bad and the people were pretty friendly and nice. The training I encountered was very fast paced.The company expects to reduce its pharmacy spending from $957,000 under Premera, which used Express Scripts, to $754,000 in the 2019-2020 plan year using RxBenefits, he said. Keeping pharmacy benefits as part of Premera’s plan made it harder for the company to know how much it was spending on pharmaceuticals and how much …The 340B expert team at RxBenefits will continue to monitor this evolving situation and provide updates. Disclaimer: Interpretation of laws will vary by PBM, state, and a variety of factors beyond the scope of this post. Nothing herein should be construed, or relied upon, as legal advice. Each plan sponsor is responsible for determining the ... Email Member Services. or call member services at. 800.334.8134. Stay in the know! We pride ourselves on quick response time to your inquiries. If you have a question, pick the appropriate team to contact and we will be happy to help! We’re Different. Founded in 1995, Birmingham, AL-based RxBenefits is the employee benefit industry’s first technology-enabled pharmacy benefits optimizer (PBO). We are a growing team of more than 700 pharmacy pricing, contract, service, technology, data, and clinical experts that work together as one team towards one common goal: putting ... The savings easily range from 20% to 45% below their GPO prices. A study of 340B reported that hospital savings are around $11.8 million per year. When the 340B program is applied to the employee benefits program, the hospital’s savings and rewards are even greater, as the hospital is able to leverage its cost of goods …What RxBenefits is Doing to Help. Legislation and regulatory requirements around pharmacy benefits are continuously changing, and even if the legislation discussed above does not currently impact your state today, that may shift in months to come. We always recommend that plan sponsors work closely with their legal counsel to ensure …This cycle leads to a rise in drug prices that ultimately impacts the consumer – especially when coinsurance is involved. For example, if a drug has a list price of $1,000 with a $500 rebate to the plan sponsor, the net cost of the drug is $500. However, if the member has a 50% coinsurance, they actually pay $500 … The RxBenefits Protect suite of clinical solutions is designed and led by our team of independent PharmDs to ensure those medications are appropriately prescribed, clinically effective, and cost-efficient. Additional 7-10% Savings. average savings in the first year. Enjoy this RxMinute video to learn the basics about drug tiers and formularies. If you need more information, please reach out to your account manager.RxBenefits’ New “Optimize MyCare Diabetes Support Program” powered by Tria Health provides a personalized approach using pharmacists to reduce total health care costs related to diabetes. RxBenefits, the employee benefits industry’s first technology-enabled pharmacy benefits optimizer (PBO), today …That’s where RxBenefits can help. Our team of experts have insight into the right questions to ask, whether you’re choosing a provider for the first time or simply looking to make a seamless provider transition. Our unbiased questionnaires are specifically tailored to your unique goals and designed to help you pick the right …Mark joined RxBenefits in July 2021 as the company’s first Chief Technical Officer, a role that was created to support the company’s rapidly accelerating growth. In this role, he is responsible for the integration and expansion of the Optimize MyPlan platform, as well as sourcing strategic partnerships and opportunities to increase ...RxBenefits’ Pharmacy FAQ. Who is RxBenefits? Founded in 1995, Birmingham, AL-based RxBenefits is the employee benefit industry’s first and only technology-enabled …RxBenefits is a technology-enabled pharmacy benefits optimizer (PBO) with more than 750 pharmacy pricing, data, and clinical experts working together to deliver prescription benefit savings to employee benefit consultants and their self-insured clients. With nearly 3 million members, we bring market-leading …Millions trust Express Scripts for safety, care and convenience. Express Scripts makes the use of prescription drugs safer and more affordable.Helping Multiple Employers (TPAs, consortiums, associations, health plans, etc.),… | Learn more about Jeffrey Lyons's work experience, education, connections & more by visiting their profile on ...Mark joined RxBenefits in July 2021 as the company’s first Chief Technical Officer, a role that was created to support the company’s rapidly accelerating growth. In this role, he is responsible for the integration and expansion of the Optimize MyPlan platform, as well as sourcing strategic partnerships and opportunities to increase ...Robert Gamble, President & Chief Financial Officer, joined RxBenefits in 2016 and brings over 16 years of executive experience at growing healthcare companies. Robert previously served as CFO and President at HospiScript Services for eight years, where he played a critical role in the high-growth pharmacy benefits management business with significant …Nov 20, 2023 · Last updated on 11/20/2023. General Information. (800) 377-1614. [email protected]. Client Services. (866) 769-5987. Denver concrete, Swan river seafood, Police federal credit union md, Helping hands humane society, Riley sager author, Memphis broadway pizza, Cataloochee ski area, Town of lakeville ma, Purity ice cream co., Dogtown cincinnati, Richmond the national, Majestic pools, A j steakhouse, Saturday events near me

Bryan Statham joined RxBenefits in 2005, drawing upon a successful career in the healthcare and pharmacy benefits industry at companies such as Complete Health and UnitedHealthCare. Based on Bryan’s experience, it became clear to him that being an expert in optimizing pharmacy benefits for self-insured employers …. Pro barbers

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The RxBenefits Difference. With RxBenefits independent PA reviews, there is an actual person following the process. Because of our hands-on approach, you can rest assured knowing your members’ medications are reviewed individually by a team of professionals, not an automated system.Working with RxBenefits, the hospital experienced a more transparent, collaborative relationship aligned with its goals. RxBenefits’ total solution helped the hospital rein in its high-cost prescription drug spending and provided needed support for its in-house pharmacy and 340B program successes.The chain effect of the loss of rebates is just starting to be seen, and we can expect further actions and strategies by commercial plans to overcome the loss of rebates to 340B programs. RxBenefits continues to implement strategies to combat this ever-changing 340B environment. We are reviewing all available …Email Member Services. or call member services at. 800.334.8134. Stay in the know! We pride ourselves on quick response time to your inquiries. If you have a question, pick the appropriate team to contact and we will be happy to help! That’s where RxBenefits can help. Our team of experts have insight into the right questions to ask, whether you’re choosing a provider for the first time or simply looking to make a seamless provider transition. Our unbiased questionnaires are specifically tailored to your unique goals and designed to help you pick the right service ... Jul 14, 2020 · The 340B Drug Discount program was created by the Federal government in 1992 to support healthcare providers that serve low-income, Medicaid, uninsured, and underinsured populations. The 340B program helps these facilities continue to provide care to all patients, regardless of their ability to pay. Under the 340B program, drug manufacturers ... by RxBenefits April 7, 2021 4 min readin Industry News. Anti-steering laws are designed to prohibit pharmacy benefits managers (PBMs), or insurer-owned pharmacies, from profiting off prescriptions “steered” from their PBM and insurance affiliates to in-house or mail-order pharmacies they own. Such laws have been …Secret Benefits - Where Experienced & Attractive People MeetThe RxBenefits Protect suite of clinical solutions is designed and led by our team of independent PharmDs to ensure those medications are appropriately prescribed, clinically effective, and cost-efficient. Additional 7-10% Savings average savings in the first year. Low Clinical Value (LCV) Formulary Exclusions.Nathan is an avid golfer, fisher, and farmer with livestock including a donkey. 2. Nathan was raised in a small town in New York. 3. Nathan and his wife Serena, a native Floridian, have two young children. Speak to an Expert. Nathan White, Chief Client Officer, joined RxBenefits in 2017 with more than 18 years of experience in …RxBenefits’ hospital solutions can help you optimize your in-house pharmacy. Our dedicated In-House Pharmacy Team can help you make the most of it, with proactive communications ahead of any potential member impact, test claims and detailed financial reporting, and full transparency regarding pharmacy performance, to …RxBenefits’ rebate yield for our book of business two years ago was 17%. Last year, it was 22%. That shift is indicative of both utilization and AWP. Drug Rebate Benefits. Rebates are paid on a per-claim basis, but the employers we work with have some insulation and protection because they have rebate guarantees …Millions trust Express Scripts for safety, care and convenience. Express Scripts makes the use of prescription drugs safer and more affordable.Introducing our New Chief Executive Officer, Wendy Barnes. Wendy Barnes joins RxBenefits with over 25 years in healthcare management. Prior to joining our team, Wendy served as the president of Express Scripts Pharmacy, where she led her team to achieve service, operations, and financial success across multiple consumer-centric …Helping Multiple Employers (TPAs, consortiums, associations, health plans, etc.),… | Learn more about Jeffrey Lyons's work experience, education, connections & more by visiting their profile on ...RxBenefits offers that something more, leveraging our expertise in working with more than 200 hospitals and healthcare providers and tailoring our solutions to the specific needs of the client. We help hospitals design client-aligned contracts that avoid the potential pitfalls of pharmacy benefits in their space, make the most use …The employee benefit industry’s first Pharmacy Benefits Optimizer (PBO), RxBenefits is a different kind of pharmacy partner. We are not a PBM, TPA, or coalition. Our pharmacy experts work independently of the Big Pharma machine to help our employee benefit consultant partners and their self-insured employer …Jun 14, 2023 · The newest addition to Protect, RxBenefits’ client-aligned suite of clinical programs, is the High-Touch Therapeutic Interchange for Anti-Inflammatory Medications and Dermatologic Agents. The program provides patient advocacy and instruction for new patients and members with a history of using these popular treatments. I’m the CEO of RxBenefits, the industry’s first-of-its-kind Pharmacy Benefit Optimizer… · Experience: RxBenefits, Inc. · Location: Charlotte Metro · 500+ connections on LinkedIn. View ... Nathan is an avid golfer, fisher, and farmer with livestock including a donkey. 2. Nathan was raised in a small town in New York. 3. Nathan and his wife Serena, a native Floridian, have two young children. Speak to an Expert. Nathan White, Chief Client Officer, joined RxBenefits in 2017 with more than 18 years of experience in pharmacy client ... With a PBO, self-funded employers can rely on the expertise of pharmacy benefits experts to help them navigate the challenges in the market. Services, such as managing eligibility, account management, clinical programs, and reporting, are a core part of the PBO experience. What sets the PBO apart is its ability to focus on customer …Optimize Member Health andControl Costs Associated WithPoorly Managed Diabetes. Diabetes is a top-3 driver of pharmacy and medical spend for employers. For most plan sponsors, medications for diabetes and metabolic syndrome — also known as pre-diabetes — are a top expenditures. Diabetes is also a condition that …Working with RxBenefits, the hospital experienced a more transparent, collaborative relationship aligned with its goals. RxBenefits’ total solution helped the hospital rein in its high-cost prescription drug spending and provided needed support for its in-house pharmacy and 340B program successes. As pharmacy benefit experts look ahead to 2023, they see an affordability issue for prescription drugs as a rising concern for self-funded employers. With specialty medications — treatments for chronic, complex, and rare conditions that impact fewer than 200K Americans — dominating the drug pipeline, the median annual price of newly ... RxBenefits, Inc. | 32,892 followers on LinkedIn. Advocacy. Expertise. Service. | Founded in 1995 and headquartered in Birmingham, AL with an office in Towson, MD, RxBenefits is the employee ... Article. RxBenefits helps patients in self-funded plans find and apply for alternative sources of funding for specialty medicines and facilitates enrollment. … PA’s the Right Way: An RxBenefits Prior Authorization Story. As an employer, you know the importance of prioritizing your employees’ needs, but you also have to consider your overall clinical and economic goals as the plan sponsor who is paying the cost in order to provide your members with the best possible benefits. Just one unnecessary ... Nathan is highly technical yet highly skilled in interpersonal communications. He is able to speak with and relate to all levels within the organization. His skills are evident in his continual ...My RxBenefits joins our self-service client portal, My RxBenefits Plan, and will soon be joined by a benefit advisor portal, offering any-time, anywhere plan access and communication throughout the benefit process. Members can register for My RxBenefits and access their plan information quickly and easily.RxBenefits, the employee benefits industry’s first technology-enabled pharmacy benefits optimizer (PBO), today announced that its Board of Directors has appointed Wendy Barnes Chief Executive Officer. Barnes succeeds Bryan Statham, who served as the company’s president from 2013 to 2016 and CEO for the past six years.Jan 31, 2023 · What Benefit Plan Sponsors Can Learn from Weight-Loss Sensation Ozempic. Ozempic, an FDA-approved medication originally developed to treat type 2 diabetes, is making waves among consumers for its rapid weight loss results. Before Ozempic’s mass media exposure in late 2022, the drugs’ slimming side effects weren’t well known by consumers ... My RxBenefits joins our self-service client portal, My RxBenefits Plan, and will soon be joined by a benefit advisor portal, offering any-time, anywhere plan access and communication throughout the benefit process. Members can register for My RxBenefits and access their plan information quickly and easily.Helping Multiple Employers (TPAs, consortiums, associations, health plans, etc.),… | Learn more about Jeffrey Lyons's work experience, education, connections & more by visiting their profile on ...The RxBenefits clinical team flagged this claim and reached out to the physician. The clinical review found that the member had in fact lost weight, and only one vial was needed to meet the specific dose requirements of the medication. Optimizing this dose saved the plan $40,000 per month. This example shows how important it is, …RxBenefits is a technology-enabled pharmacy benefits optimizer (PBO) with more than 800 pharmacy pricing, data, and clinical experts working together to deliver prescription benefit savings to employee benefit consultants and their self-insured clients.Through our Optimize 340B solution, RxBenefits helps maximize the value of the prescription benefit for 340B hospital and grantee clients with pharmacies. Finding Balance for Hospital Leaders Drug spend is a growing concern for self-funded employers, and costs are expected to rise in 2024. 6 Creating a strategy to lower … In the RxBenefits’ Book of Business, diabetes treatments account for 18% of the total gross cost for pharmacy plans.3. Three of the top insulin manufacturers announced lower insulin prices shortly after the Inflation Reduction Act went into effect. Starting in January 2024, prices for certain insulin products from Eli Lilly, Novo Nordisk, and ... RxBenefits Summit Club award trip for achieving greater than 125% of plan. Finished the year at 230% of goal and most number of regional groups sold. EyeMed's President's ClubRxBenefits offers consultants a superior alternative to traditional PBM arrangements by providing a comprehensive, multifaceted suite of solutions for layered protection. These solutions include market-leading purchasing power and contract expertise, independent clinical oversight to ensure the pharmacy benefit remains both …This cycle leads to a rise in drug prices that ultimately impacts the consumer – especially when coinsurance is involved. For example, if a drug has a list price of $1,000 with a $500 rebate to the plan sponsor, the net cost of the drug is $500. However, if the member has a 50% coinsurance, they actually pay $500 …Mar 18, 2021 · Katherine Hinton manages a team of clinical pharmacists that evaluate prior authorization requests to ensure clinical appropriateness and cost effectiveness. Prior to joining RxBenefits, she worked for nearly 15 years in a high-volume retail pharmacy and focused 10 years on pharmacy management. She obtained a Doctor of Pharmacy degree from the ... RxBenefits, Inc. | 31,581 followers on LinkedIn. Advocacy. Expertise. Service. | Founded in 1995 and headquartered in Birmingham, AL with an office in Towson, MD, RxBenefits is the employee ...Jan 19, 2023 · A formulary is a dynamic list of medications covered by a plan. It influences the drugs prescribers and members will select so the member can receive treatments that are both clinically valuable and cost-effective. The U.S. Food and Drug Administration (FDA) review process historically considers the clinical effectiveness of the medication ... RxBenefits’ rebate yield for our book of business two years ago was 17%. Last year, it was 22%. That shift is indicative of both utilization and AWP. Drug Rebate Benefits. Rebates are paid on a per-claim basis, but the employers we work with have some insulation and protection because they have rebate guarantees …Millions trust Express Scripts for safety, care and convenience. Express Scripts makes the use of prescription drugs safer and more affordable.Our no-cost analysis provides deep insights into 10 crucial areas of your client’s current contract and plan performance. First, a high-level overview of how the current contract and pricing arrangement …Email Member Services. or call member services at. 800.334.8134. Stay in the know! We pride ourselves on quick response time to your inquiries. If you have a question, pick the appropriate team to contact and we will be happy to help!Last updated on 11/20/2023. General Information. (800) 377-1614. [email protected]. Client Services. (866) 769-5987.Jun 14, 2023 · The newest addition to Protect, RxBenefits’ client-aligned suite of clinical programs, is the High-Touch Therapeutic Interchange for Anti-Inflammatory Medications and Dermatologic Agents. The program provides patient advocacy and instruction for new patients and members with a history of using these popular treatments. Jan 19, 2023 · A formulary is a dynamic list of medications covered by a plan. It influences the drugs prescribers and members will select so the member can receive treatments that are both clinically valuable and cost-effective. The U.S. Food and Drug Administration (FDA) review process historically considers the clinical effectiveness of the medication ... Enjoy this RxMinute video to learn the basics about drug tiers and formularies. If you need more information, please reach out to your account manager.RXbenefits, Inc. Company Profile | Birmingham, AL | Competitors, Financials & Contacts - Dun & Bradstreet Find company research, competitor information, contact details & financial data for !company_name! of !company_city_state!. Get the latest business insights from Dun & Bradstreet.The chain effect of the loss of rebates is just starting to be seen, and we can expect further actions and strategies by commercial plans to overcome the loss of rebates to 340B programs. RxBenefits continues to implement strategies to combat this ever-changing 340B environment. We are reviewing all available …RxBenefits is a technology-enabled pharmacy benefits optimizer (PBO) with more than 750 pharmacy pricing, data, and clinical experts working together to deliver prescription benefit savings to employee benefit consultants and their self-insured clients. With nearly 3 million members, we bring market-leading purchasing power, independent ...RxBenefits’ New “Optimize MyCare Diabetes Support Program” powered by Tria Health provides a personalized approach using pharmacists to reduce total health care costs related to diabetes. RxBenefits, the employee benefits industry’s first technology-enabled pharmacy benefits optimizer (PBO), today …RxBenefits, the employee benefits industry’s first technology-enabled pharmacy benefits optimizer (PBO), today announced that its Board of Directors has appointed Wendy Barnes Chief Executive Officer. Barnes succeeds Bryan Statham, who served as the company’s president from 2013 to 2016 and CEO for the past six years.Using her strong background in reporting analytics, Myong directly manages and supports RxBenefits’ team of Strategic Pharmacy Analysts. She and her team work closely with our Business Development Team, actively participating in reviewing results with consultants to help them understand their clients’ risk … In 2023, we grew our Member Services team by 50% to accommodate unprecedented demand. And our already award-winning member service is even better with our new member portal, putting easy access to benefits and communication with our team in the palms of our members’ hands. Mon – Fri 7:00am – 8:00pm cst800.334.8134 [email protected]. The RxBenefits Protect suite of clinical solutions is designed and led by our team of independent PharmDs to ensure those medications are appropriately prescribed, clinically effective, and cost-efficient. Additional 7-10% Savings. average savings in the first year. Using Nexium as an example, here is how the cost might look with DAW penalties in place: Nexium costs $250 and the generic costs $30 post-discount. The member pays a higher non-preferred brand drug copay of $40 plus the difference between $250 and $30, which is $220. The total cost to the member to receive …RxBenefits offers pharmacy benefit strategies and solutions for education, health care, trucking, and other sectors. It claims to lower costs, protect members, and mitigate risk …Competitors: Unknown. Founded in 1995, RxBenefits occupies a unique niche in the healthcare benefits industry as a strategic expert on pharmacy benefit procurement and …RxBenefits, the employee benefits industry’s first technology-enabled pharmacy benefits optimizer (PBO), today announced that its Board of Directors has appointed Wendy Barnes Chief Executive Officer. Barnes succeeds Bryan Statham, who served as the company’s president from 2013 to 2016 and CEO for the past six years.The Benefits of RxBenefits. Market-leading purchasing power to secure hospital-specific, channel-agnostic contracts with transparent terms and the best rates and rebates. A dedicated Hospital Team, experienced with the … We’re Different. Founded in 1995, Birmingham, AL-based RxBenefits is the employee benefit industry’s first technology-enabled pharmacy benefits optimizer (PBO). We are a growing team of more than 700 pharmacy pricing, contract, service, technology, data, and clinical experts that work together as one team towards one common goal: putting ... Mar 18, 2021 · Katherine Hinton manages a team of clinical pharmacists that evaluate prior authorization requests to ensure clinical appropriateness and cost effectiveness. Prior to joining RxBenefits, she worked for nearly 15 years in a high-volume retail pharmacy and focused 10 years on pharmacy management. She obtained a Doctor of Pharmacy degree from the ... Mar 31, 2022 · This cycle leads to a rise in drug prices that ultimately impacts the consumer – especially when coinsurance is involved. For example, if a drug has a list price of $1,000 with a $500 rebate to the plan sponsor, the net cost of the drug is $500. However, if the member has a 50% coinsurance, they actually pay $500 (50% of the $1,000 price ... RxBenefits is hiring! The Director, Operational Excellence will help drive the journey of excellence within RxBenefits Client Operations and Client Onboarding, aligning with our core values, for a ...RxBenefits Book of Business Analysis, 2021. Jeffrey Lyons. Multi Employer Specialist . Jeff is an experienced specialist with almost 20 years spent in the pharmacy and insurance industry. His background within the industry includes performing multi-city insurance sales among several self-funded employers. At …We would like to show you a description here but the site won’t allow us.The RxBenefits clinical team flagged this claim and reached out to the physician. The clinical review found that the member had in fact lost weight, and only one vial was needed to meet the specific dose requirements of the medication. Optimizing this dose saved the plan $40,000 per month. This example shows how important it is, …RxBenefits offers that something more, leveraging our expertise in working with more than 200 hospitals and healthcare providers and tailoring our solutions to the specific needs of the client. We help hospitals design client-aligned contracts that avoid the potential pitfalls of pharmacy benefits in their space, make the most use …. Skyline comedy, Carrie nation cocktail club, Star barre, Manchester tank, Smith haven jeep, Pho an, Dmv woodbridge va, Tops surgical specialty hospital, Harvest seasonal grill and wine bar, Mb klein, Cummings comedian, Hamilton marine, Concord middle schools, Galuppi's, Moomba boat, Sweetheart winery, Discovery ski area, Burst oral.