2024 Rxbenefits - Join me in congratulating Mark Campbell PharmD, on being named RxBenefits, Inc. Inc.’s Chief Pharmacy Officer. All of #TeamRxB is excited to… Liked by Patrick Gribbin

 
May 24, 2022 · 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 pharmacies. . Rxbenefits

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 …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 …An effective formulary meets the goals and needs of members and employers — who are paying the bulk of the pharmacy costs. Utilization management tools, such as prior authorization, step therapy rules, and quantity limits, ensure members have access to the right medications at the best prices. Since …The average RxBenefits salary ranges from approximately $38,582 per year (estimate) for an Inventory Clerk to $182,481 per year (estimate) for a Principal. The average RxBenefits hourly pay ranges from approximately $17 per hour (estimate) for a Call Center Representative to $78 per hour (estimate) for a …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 …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 …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 ... The average RxBenefits salary ranges from approximately $38,582 per year (estimate) for an Inventory Clerk to $182,481 per year (estimate) for a Principal. The average RxBenefits hourly pay ranges from approximately $17 per hour (estimate) for a Call Center Representative to $78 per hour (estimate) for a … RxBenefits extends to you the negotiating power of our 3 million aggregate members and more than $3 billion in annual pharmacy spend. But that’s just the beginning – our dedicated hospital management team and clinical experts come with the industry-specific knowledge that’s crucial for building and managing pharmacy plans to the lowest ... 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 inappropriate ... 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 …member.rxbenefits.com is the online portal for members of RxBenefits, the market-leading pharmacy benefits optimizer. Here you can access your plan details, check your prior …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, we bring market-leading … RxBenefits Protect solutions are led by independent PharmDs, delivering clinical expertise, oversight, and intervention to ensure medications are appropriately prescribed and used while avoiding unnecessary, inefficient spending. 7-10%. Plans lose 7-10% solely due to poor clinical management. 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 …If you have any questions, remember that the RxBenefits’ Member Services team is here to help Monday – Friday from 7:00 a.m. to 8:00 p.m. CT at 800.334.8134 or [email protected]. RxBenefits Bridge™ solutions are designed to help reduce the financial gaps employers and members face for high-cost specialty drugs they …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 …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 … 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]. 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 … 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 spending is challenging ... 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 ... 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 ... 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 ... 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 …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. RxBenefits, Inc. may be growing as indicated by recent financial activities and strategic decisions. The company was included in Advent's healthcare investments in the US, which suggests a positive valuation and potential infusion of capital. Furthermore, RxBenefits was acquired by McKesson Corporation in October 2023, an event that typically ...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 …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 …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 ... 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 …"RxBenefits and Confidio share a common purpose and values. We are both committed to making it easier for benefits advisors to deliver optimized pharmacy benefits to the plan sponsors and combined three million member lives we serve and counting," said Bryan Statham, Chief Executive Officer, RxBenefits. … 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 ... 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, 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 ...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] 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 … check_box_outline_blank check The PBO relationship is managed through the employee benefits broker, consultant, or third-party administrator (TPA), who works with RxBenefits to deliver: A client-friendly pharmacy contract with clear language and competitive pricing and rebate terms A data-driven clinical approach focused on appropriate utilization and best-practice solutions that reduce plan ... 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 ... 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, 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 … RxBenefits extends to you the negotiating power of our 3 million aggregate members and more than $3 billion in annual pharmacy spend. But that’s just the beginning – our dedicated hospital management team and clinical experts come with the industry-specific knowledge that’s crucial for building and managing pharmacy plans to the lowest ... 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, …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 …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 …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 ... Download the Prior Authorization Form. Check the Status of your PA Request. HWMG Members Prior Authorization Form. Thank you for downloading the prior authorization …Clinical / Utilization Management. Contract Best Practices. Data Analysis. Drug Pricing. Hospital & Health Systems. Pharmacy Benefits Optimization. Pharmacy Trends. School Districts & Municipalities. Specialty Pharmacy.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 ... Nathan joined the RxBenefits team in 2017, bringing more than 20 years of operational IT experience. His resume includes 15 years in senior leadership across the healthcare, manufacturing, and financial sectors in rapidly growing, emerging companies and billion-dollar entities. In addition to technology leadership, he also …Prior Authorizations (EOC) ID: a unique number assigned to the PA request. You can find this by calling the Prior Authorization line at 888.608.8851 or. You may have received a letter regarding this particular prior authorization. If so, your EOC will be included on the letter. First name , last name, and date of birth of the member. 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 customized solution for your organization and access valuable resources and insights. If you have any questions, remember that the RxBenefits’ Member Services team is here to help Monday – Friday from 7:00 a.m. to 8:00 p.m. CT at 800.334.8134 or [email protected]. RxBenefits Bridge™ solutions are designed to help reduce the financial gaps employers and members face for high-cost specialty drugs they …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 … 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 ... 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 ... 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 …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.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 ...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 ...Experienced Senior Recruiter with a demonstrated history of working in the staffing and… · Experience: RxBenefits, Inc. · Education: Troy University · Location: Birmingham, Alabama, United ...RxBenefits, Inc. provides pharmacy benefit procurement and administration services. The Company specializes in advocacy services for consultants on behalf of employers, employees, and their ...At RxBenefits, our team’s priority is the health and safety of your members, so we focus first on clinical appropriateness. Our clinical pharmacists can also deliver significant savings to the plan, whether recommending an over-the-counter alternative or swapping a high-cost brand medication for an equally effective generic option. We are so ...RxBenefits’ Pharmacy FAQ. Who is RxBenefits? Founded in 1995, Birmingham, AL-based RxBenefits is the employee benefit industry’s first and only technology-enabled …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 …The RxBenefits Difference. The purpose of an electronic PA is to get a prescription approved quickly. This swift turnaround makes it a member and provider satisfier, but it’s a systems-based apparatus. With RxBenefits independent PA reviews, an actual person is overseeing the process. Our independent, in-house pharmacist team … RxBenefits’ Preferred Financial Assistance solutions help patients get the medications they need at the lowest possible price while helping plan sponsors offset costs and reduce risk. Whether it’s a high-cost specialty medication or lower-cost generic, we’re always looking for ways to help members save – and in many instances the plan ... 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’ Preferred Financial Assistance solutions help patients get the medications they need at the lowest possible price while helping plan sponsors offset costs and reduce risk. Whether it’s a high-cost specialty medication or lower-cost generic, we’re always looking for ways to help members save – and in many …If you have any questions, remember that the RxBenefits’ Member Services team is here to help Monday – Friday from 7:00 a.m. to 8:00 p.m. CT at 800.334.8134 or [email protected]. RxBenefits Bridge™ solutions are designed to help reduce the financial gaps employers and members face for high-cost specialty drugs they …RxBenefits offers a range of solutions to help self-funded employers save money, mitigate risk, and protect their employees' health and safety. Learn how RxBenefits can negotiate … 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 ... 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 …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’ Preferred Financial Assistance solutions help patients get the medications they need at the lowest possible price while helping plan sponsors offset costs and reduce risk. Whether it’s a high-cost specialty medication or lower-cost generic, we’re always looking for ways to help members save – and in many …Nov 20, 2023 · Last updated on 11/20/2023. General Information. (800) 377-1614. [email protected]. Client Services. (866) 769-5987. 800.334.8134 | [email protected]. Monday – Friday, 7:00am – 8:00pm Central. Client Services. The support you need now – because later is too late. When you need support now, you need it now. That’s why our Client Services team works alongside our Account Management teams to provide accessible, responsive …Jul 21, 2023 · RxBenefits’ Protect suite of clinical solutions includes all these programs to help employers ensure the safety and necessity of their members’ prescriptions. And our newest enhancement to that suite, Utilization Management for Next Generation Diabetes Drugs, offers an additional layer of protection against off-label prescribing of GLP-1s. RxBenefits, the employee benefits industry’s first and only technology-enabled pharmacy benefits optimizer (PBO), today announced it has completed its previously announced acquisition of Confidio, a pharmacy benefits consulting firm. RxBenefits and Confidio are both focused on solving a persistent industry issue – …"RxBenefits and Confidio share a common purpose and values. We are both committed to making it easier for benefits advisors to deliver optimized pharmacy benefits to the plan sponsors and combined three million member lives we serve and counting," said Bryan Statham, Chief Executive Officer, RxBenefits. …Join me in congratulating Mark Campbell PharmD, on being named RxBenefits, Inc. Inc.’s Chief Pharmacy Officer. All of #TeamRxB is excited to… Liked by Patrick GribbinJoin me in congratulating Mark Campbell PharmD, on being named RxBenefits, Inc. Inc.’s Chief Pharmacy Officer. All of #TeamRxB is excited to… Liked by Patrick GribbinMar 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 a PBO that helps self-insured employers of any size buy pharmacy benefits with the same negotiating power as a Fortune 100 company. Learn how RxBenefits …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 ... 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 ... The average RxBenefits salary ranges from approximately $38,582 per year (estimate) for an Inventory Clerk to $182,481 per year (estimate) for a Principal. The average RxBenefits hourly pay ranges from approximately $17 per hour (estimate) for a Call Center Representative to $78 per hour (estimate) for a …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. 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Benefit advisors must consider the distinct needs of hospitals to build the right benefit. Healthcare leaders want to improve the health of their industry, communities, and employees, but they’re facing intense financial challenges.1 Labor costs and shortages, increasing legislative restrictions, lower reimbursements, the end of federal ... . City of lake oswego

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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, 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 ... 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 ... RxBenefits, Birmingham, Alabama. 1,602 likes · 2 talking about this. Expert Advice. Superior Service. Guaranteed Rates. RxBenefits is a technology-enabled pharmacy bene 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 ... In an article for Benefits Magazine’s June 2021 issue, RxBenefits’ VP of Clinical Solutions, Mark Campbell, PharmD, shares insights on rising prescription drug costs, COVID and non-COVID-related trends, and their impact on employer-sponsored pharmacy benefits plans. The article focuses on the top five data-driven clinical … RxBenefits extends to you the negotiating power of our 3 million aggregate members and more than $3 billion in annual pharmacy spend. But that’s just the beginning – our dedicated hospital management team and clinical experts come with the industry-specific knowledge that’s crucial for building and managing pharmacy plans to the lowest ... 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 ... 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 …One health system in the Northeast United States with 3,145 members achieved 5% savings by switching to a channel-agnostic pharmacy benefits contract. The new arrangement optimized use of the hospital’s on-site, owned resources and used the hospital’s preferred pharmacies first, instead of the PBM-owned pharmacies.In recent years, there have been many questions and discussions in the marketplace about where prescription drug rebate dollars are going. The reality is drug rebates carry an economic value of about 20%-30% of the cost of an employer’s prescription drug program. These are real dollars that present a real opportunity for a pharmacy …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 …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 …Enjoy our latest blogs, white papers and news by signing up for our newsletter today!RxBenefits offers a range of solutions to help self-funded employers save money, mitigate risk, and protect their employees' health and safety. Learn how RxBenefits can negotiate …Anti-Steering Laws Grew In 2022. by Wesley Hill, J.D. September 23, 2022 2 min readin Pharmacy Trends. Since 2019, the number of states with anti-steering pharmacy benefit laws has increased exponentially. From the early adopters of Louisiana, Minnesota, and Oklahoma, anti-steering has spread to 18 states …Last updated on 11/20/2023. General Information. (800) 377-1614. [email protected]. Client Services. (866) 769-5987. [email protected] RxBenefits, our team’s priority is the health and safety of your members, so we focus first on clinical appropriateness. Our clinical pharmacists can also deliver significant savings to the plan, whether recommending an over-the-counter alternative or swapping a high-cost brand medication for an equally effective generic option. We are so ...RxBenefits, a technology-enabled PBO that delivers pharmacy cost savings to self-insured employers and SMBs, has completed a recapitalization valued at $1.1 …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 ... check_box_outline_blank check The PBO relationship is managed through the employee benefits broker, consultant, or third-party administrator (TPA), who works with RxBenefits to deliver: A client-friendly pharmacy contract with clear language and competitive pricing and rebate terms A data-driven clinical approach focused on appropriate utilization and best-practice solutions that reduce plan ... “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 … The TPA selected RxBenefits, an independent pharmacy benefits optimizer (PBO), to manage its prescription drug benefits. RxBenefits used a data-driven analysis to identify areas of waste and solutions to reduce the TPA’s unnecessary benefit plan costs. RxBenefits then implemented tailored contract and clinical strategies to lower the high ... 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.RxBenefits’ select Patient Assistance solutions ease that burden, helping your employee find and apply for other sources of funding. These solutions are offered in partnership with carefully selected vendors – they facilitate the process, and RxBenefits makes $0 from Patient Assistance Solutions.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’ 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 …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 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] 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 …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, …Unlike typical automated call systems, our members get prompt access to live, knowledgeable, experienced representatives. Each time one of our representatives answers the phone, the goal is simple—resolve our member’s issue on the first call. Our in-house Member Services team is trained to offer personalized attention and …RxBenefits is hiring! We are adding resources to the Member Services team in our Birmingham, AL headquarters. Member Services Representative I is an important first-line of contact with our customers, setting the tone for how our company and services are experienced. They provide participants with the correct information at the right time to ...Experience: RxBenefits, Inc. · Education: Stockton University · Location: Marlton, New Jersey, United States · 500+ connections on LinkedIn. View Dominic Nocito’s profile on LinkedIn, a ...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 …However, the PBM’s pricing and rebate negotiations play a critical role in a drug’s placement on the PBM formulary – and ultimately the costs paid by plan sponsors and members. With the PBM in control, payers are left out of the equation while expensive, yet highly rebateable, drugs are placed in preferred positions on the PBM formulary.1) Check if your site is already registered. To confirm that you are in the system, search 340B OPAIS for registered sites. This will prevent you from registering duplicates or identify terminated registrations you may want back in the 340B Program. If you aren’t sure if your sites are already registered, you can contact the 340B Prime …PBM Coordinator at RxBenefits. RxBenefits, Inc. Feb 2017 - Apr 2019 2 years 3 months. Birmingham, Alabama Area.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 … 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 ... 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 …340B is a federal drug discount program that was signed into law in 1992 as part of the Public Health Service Act under section 340B. The purpose of the 340B discount is to help our safety-net health care providers stretch scarce federal resources to reach more eligible patients, and provide more comprehensive … 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 ... 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 ... 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 …Jul 21, 2023 · RxBenefits’ Protect suite of clinical solutions includes all these programs to help employers ensure the safety and necessity of their members’ prescriptions. And our newest enhancement to that suite, Utilization Management for Next Generation Diabetes Drugs, offers an additional layer of protection against off-label prescribing of GLP-1s. 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 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 …PBM Coordinator at RxBenefits. RxBenefits, Inc. Feb 2017 - Apr 2019 2 years 3 months. Birmingham, Alabama Area.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 … 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 ... #10. Top 10 specialty medications by gross plan spend, according to RxBenefits’ 2022 book-of-business analysis: 1) Humira. 2) Stelara. 3) Enbrel. 4) Skyrizi. 5) Tremfya. 6) Biktarvy. 7) Revlimid. 8) Otezla. 9) Dupixent. 10) Norditropin. As the pharmacy landscape continues to evolve, it’s clear no simple solution will …The Benefits of RxBenefits. Easily managed pharmacy options with access to all big three PBMs in a single platform to help you attract and retain more clients. Optimized pharmacy plan performance to drive down trend and the overall cost of healthcare. Improved clinical and utilization results across your Book of Business.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 …In recent years, there have been many questions and discussions in the marketplace about where prescription drug rebate dollars are going. The reality is drug rebates carry an economic value of about 20%-30% of the cost of an employer’s prescription drug program. These are real dollars that present a real opportunity for a pharmacy …RxBenefits is a technology-enabled pharmacy benefits optimizer (PBO) with more than 900 pharmacy pricing, data, and clinical experts working together to deliver prescription benefit savings to ...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 …Aug 17, 2020 · Pharmacy Benefits Optimizer. 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 ... At RxBenefits, our team’s priority is the health and safety of your members, so we focus first on clinical appropriateness. Our clinical pharmacists can also deliver significant savings to the plan, whether recommending an over-the-counter alternative or swapping a high-cost brand medication for an equally effective generic option. We are so ...Nov 30, 2021 · The average cost of an 8-week course to treat hepatitis C is $34,000, with some hepatitis C cases requiring 12 weeks of therapy increasing annual cost for combination Opdivo® and Yervoy® therapy is in excess of $150,000 and Luxturna® therapy cost exceeds $850,000. The cost for a Zolgensma® infusion is a record-breaking $2.1 million. Nathan joined the RxBenefits team in 2017, bringing more than 20 years of operational IT experience. His resume includes 15 years in senior leadership across the healthcare, manufacturing, and financial sectors in rapidly growing, emerging companies and billion-dollar entities. In addition to technology leadership, he also …Sep 08, 2021, 09:00 ET. BIRMINGHAM, Ala. and TOWSON, Md., Sept. 8, 2021 /PRNewswire-PRWeb/ -- RxBenefits, the employee benefits industry's first and only … Benefit advisors must consider the distinct needs of hospitals to build the right benefit. Healthcare leaders want to improve the health of their industry, communities, and employees, but they’re facing intense financial challenges.1 Labor costs and shortages, increasing legislative restrictions, lower reimbursements, the end of federal ... 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.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 …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 …Aug 17, 2020 · Pharmacy Benefits Optimizer. 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 ... . 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