2023 State of Specialty Spend & Trend Report
Specialty drug management remains a top concern for health payers, including managed care organizations and employers. The 2023 State of Specialty Spend and Trend Report…
Pricing Monitor
SOLUTIONS
Artemetrx Pricing Monitor
Plans invest considerable time and resources in procuring and implementing a competitive PBM agreement but far too often put proactive oversight on the back-burner. Artemetrx Pricing Monitor is designed to provide you with continuous monitoring of your PBM’s performance against pricing guarantees at both the plan/PBM and plan/ASO group levels.
savings identified in 2023
pharmacy & medical claims
integrated lives
Artemetrx Pricing Monitor is the industry-leading solution to continuously monitor the performance against pricing guarantees within a plan. This module provides the ability to monitor the pricing performance of downstream ASO groups, including insights into revenue generated from spread pricing.
This robust solution codifies complex contractual terms and conditions to offer an independent perspective on expected pricing performance against the actual pricing offered
- Drug and channel definitions
- Narrow and preferred networks
- Exclusions
- Specialty drug pricing based on custom lists
- Dispensing fees
- Administrative fees (where applicable)
- Offset and override allowances
Ensure your PBM is meeting its commitments
Reports and dashboards provide summary and detailed views as to the PBM’s financial performance toward its contractual commitments. Artemetrx Pricing Monitor also provides reporting on your financial performance compared to contractual commitments to ASO groups.