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…
Specialized Services
SOLUTIONS
Specialized Services
PSG offers specialized services developed to assist organizations with PBM oversight and thorough implementation processes, ensuring optimal results and minimal member disruption year over year.
drug cost savings generated in 2023
lives represented in procurements over the last 3 years
years of pharmacy advocacy
General Support Services
PSG provides a comprehensive range of support services that can be tailored to meet the particular needs of its clients. PSG’s team of experts can provide ongoing advice and support, helping clients to make informed decisions and promote best practices in their operations.
Benefit Validation Testing
Ensures a 360-degree review against your source of truth and minimizes member impact related to plan design setup errors.
Clinical & Bid Support
Drive cost savings and best approach for Clinical Program management
Implementation Guarantee Monitoring
Reduces the need for your resources to manage the implementation performance guarantees from start to finish while PSG ensures intent is understood and maintains the governance process for review/approval
Maximum Allowable Cost (MAC) Analysis
Proactively provides data to compare MAC list differences that will drive up member costs, mitigates pricing variances beyond the threshold prior to going live, and provides the ability to socialize the impacts within your organization
Policy & Procedures Development & Tracking
Reduces burden on your resources to author and prioritize and ensures that PSG recommendations and industry best practices are incorporated in the policies and procedures for key areas of PBM oversight
Pre-Delegation Support
Varying levels of support are provided to ensure all required parameters of Pre-Delegation are reviewed, assessed, and gaps closed prior to implementation with any new partner
Readiness & Contingency Assessment
Prior to going live, contingency plans are developed, and a comprehensive review of risk areas and pre-planned mitigation plans are documented.