Implementing a Modular PBA Model As Your Pharmacy Benefits Strategy
Transforming pharmacy benefit strategy into execution for Modular PBA models In today’s prescription drug landscape, where costs continue to soar and patients struggle to access…
PSG Modular PBA®
SOLUTIONS
PSG Modular PBA™
The PSG Modular PBA® is the market-leading solution that allows healthcare payers to selectively outsource specific pharmacy benefit administration functions rather than using a traditional all-in-one PBM approach. As the leading provider of Modular PBA services, our model enables payers to maintain control over key PBM services while leveraging best-in-class expertise to optimize individual components like claims processing, network management, or clinical programs.
Comprehensive requirements
Unique PBM vendors assessed in 2024
Years of pharmacy advocacy
Strategy
PSG helps conceptualize, refine, and validate strategic decisions when considering a Modular PBA approach.
Current-to-Future Design Mapping
Based on client goals, PSG assesses their current model’s adaptability, leveraging this baseline to identify optimization opportunities.
Strategic Roadmap
Leveraging industry expertise, PSG develops detailed execution frameworks that organize the carve-out implementation phases while maintaining business continuity and risk mitigation.
Project Scope Assessment
PSG conducts thorough project analysis to determine the level of effort and return on investment for the vendors/functions evaluated.
Deep Clinical Expertise
A team of clinical experts ensures member outcomes are prioritized while balancing cost and vendor management.
Implementation
PSG transforms strategic vision into operational success through seamless implementation and dedicated expert support at every stage of the journey.
Expansive Market Network
Through established relationships with key industry stakeholders and real-time market monitoring, PSG maintains comprehensive insights into vendor capabilities, pricing dynamics, and emerging trends.
PBM Operational Database
A proprietary database captures detailed operational metrics, contract terms, and performance benchmarks across the PBM landscape, enabling data-driven decision-making.
Procurement Excellence Process
PSG executes a methodical vendor evaluation and selection framework, assessing claims processing, retail network management, pharmacy rebate administration, specialty pharmacy, and mail order services and vendors.
Vendor Partnership Management
Organizations receive dedicated support during all vendor interactions, with expert representation during contract negotiations, performance reviews, and ongoing program optimization discussions.
Why choose PSG?
Tailored Strategy
We help develop a Modular PBA strategy that aligns with your organizational goals and market competitiveness, ensuring your pharmacy benefits strategy is adaptable and uniquely built for you.
In-Depth Oversight
We identify and analyze the level of effort, ROI, functions/vendors, and more in your Modular PBA model to improve transparency and insight for confident decision-making.
Comprehensive RFP Process
We conduct thorough RFPs for various pharmacy program modules, ensuring the best vendor selection. Achieve optimal vendor partnerships tailored to your specific needs.
Industry Experience and Expertise
Leverage our extensive experience and up-to-date market knowledge to secure the best pricing and contract terms. Benefit from unparalleled industry insights and cost-effective solutions.
Operational Database
Utilize our robust database with over 1,500 requirements to drive business decisions and operational outcomes. Make informed choices based on comprehensive and current data.