Health Action Council continues to provide value-added services to its members.
For example, to help our members continue providing sustainable, cost-effective pharmacy benefit programs to their employees, Health Action Council reached out to re-insurance intermediaries and asked them to develop a program that would give Health Action Council members the ability to more effectively manage the cost of specialty drugs.
The result is a new Specialty Drug Cost Management Solution that is available to all Health Action Council members using our pharmacy benefit manager (PBM) program for prescription benefits.
Other services include:
- Post-migration audit – Following the move of Health Action Council user groups to a new prescription claims processing platform, we worked with CVS Health to design migration checklists and bring added attention to detail for remaining groups that had not yet moved to the new platform.
- Prescription pricing audit – Health Action Council conducted an audit of contractual pricing guarantees, bringing about the recovery of more than $3.7 million, which was distributed to employers participating in the prescription benefit program.
- Prescription market check – Health Action Council initiated a market check provision in its agreement with CVS Health, and negotiated more than $11 million in additional aggregated savings for participating member employers. It included a personalized analysis of each employer’s specialty drug spend opportunities in order to partner with our PBM to better manage an often unwieldy expense.