Medicare Part D Redesign: How Health Plans Can Prepare Using CMS Guidance
CMS Guidance Can Help Plans Prepare For 2025 Medicare Part D Redesign The Centers for Medicare & Medicaid Services (CMS) recently unveiled the…
Contracting
SOLUTIONS
Contracting
PSG has rewritten the rules for PBM vendor accountability through our proven, rigorous contracting process. We empower plans with more control over their pharmacy programs through our thorough and meticulous approach that is informed by supporting many of the largest PBM contract negotiations in the country. Our consultants understand what best-in-class terms and guarantees can be achieved and work tirelessly to deliver the highest standards to our clients.
drug cost savings generated in 2023
lives represented in procurements over the last 3 years
years of pharmacy advocacy
The PSG Advantage
01.
Innovative pricing models and terms that work for you.
02.
Tightly written terms help ensure accountability.
03.
Aligning the bid with the contract terms to deliver what was promised.
04.
We work for you,
not the PBM with unparalleled independence.
Our team has the expertise to translate PBM commitments into concrete service and pricing agreements in contract language. With decades of experience negotiating contracts with over 30 PBMs, we are equipped to navigate the complex bureaucracy that less experienced firms may struggle to overcome. Our team can assist you in negotiating critical variables with your PBM, including but not limited to definitions, pricing, performance standards, and audit rights.
Our support for your contract negotiations with your PBM includes:
- Ensuring the agreement is specific to the details of the pricing basis from the RFP with regard to definitions, pricing data source, and update frequency.
- Analyze draft agreement from the PBM to identify hidden costs, provisions, and clauses and subsequently make modifications to close potential loopholes and protect the client’s interest
- Incorporate strong audit provisions to empower the plan with the ability to hold the PBM accountable throughout the agreement term.
- Customize performance guarantees to align with best-in-class agreements and the client’s specific strategic priorities and needs.
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