PBM Implementation Results with Mandy Savino
Implementations can drastically impact overall satisfaction with a pharmacy benefit manager (PBM). Here are focused insights on how satisfied plans were with their PBM implementations.
Implementation
SOLUTIONS
Implementation
Changing PBMs or partnering with a new pharmacy vendor can be a complex and challenging process. A successful transition for sophisticated plans requires extensive planning and expertise. PSG offers an extensive programmatic approach to augment the PBM implementation efforts and help to ensure a seamless and successful PBM implementation.
Medicare PBM transitions since 2019
Medicaid PBM transitions since 2019
Commercial PBM transitions since 2019
Exchange PBM transitions since 2019
What Sets Us Apart
PSG offers a comprehensive suite of templates and tools to assist you throughout your PBM transition. These include a standard project schedule, critical path flow, communication matrix, tracking for implementation guarantees, go-live readiness checklist, and a command center template.
With PSG’s project managers, you get access to decades of pharmacy subject expertise, which is specifically tailored to manage pharmacy-related transitions. This expertise allows for early identification and mitigation of risks, delivery of best practices, and effective decision-making support.
The PSG Advantage
- Working as Business Champions for Your Plan: Our implementation experts fully comprehend best practices for a seamless implementation.
- We Have Expertise Where it Matters: This is what we do. Our dedicated implementation team is staffed with professionals in every necessary functional area.
- Utilizing Automation and Creating Efficiency: PSG uses an automated and controlled system to manage transition scope, requirements, and test traceability.
- Performing Execution with Members at the Forefront: We perform an independent validation of benefits, formulary, and utilization edits.
- Innovation Through Partnership: We combine deep expertise with bold thinking to help clients lead their markets, offering cutting-edge solutions like Modular PBA implementations and more.
Full Suite of PBM Implementation Services
| Areas of Focus | Specialized Services | |
|---|---|---|
| Subject Matter Expertise | ✓ | |
| Project Support | ✓ | |
| Transition Requirements | ✓ | |
| Testing & Readiness | ✓ | |
| Benefit Testing & Auditing | ✓ | |
| Post-Implementation Audit | ✓ | |
| Clinical Support | ✓ | |
| MAC Analysis | ✓ | |
| Pre-Delegation | ✓ | |
| Implementation Guarantees | ✓ |