Washington, DC (PRWEB) January 16, 2014
As pharmacy benefit designs and drug pricing methodology become more complex, the margin for unintended error widens, often leaving employers or health plans responsible for a portion of their drug benefit they may not actually owe. To ensure that their PBMs are delivering rebates, pricing and other services in line with their contract terms, more and more plan sponsors are negotiating — and exercising — audit rights, from invoice review to complete performance evaluations. The Jan. 28 webinar from Atlantic Information Services, Inc. (AIS) “PBM Contracts: How to Use Audits and Market Checks to Improve Your Bottom Line,” will discuss how audits and market checks can dramatically increase savings for health plans and purchasers of pharmacy benefits.
Brian Anderson, M.B.A., a pharmacy benefit consultant at Milliman, and Robert Shelley, M.B.A., president of PSRx Advisors, LLC and senior vice president of TRICAST, will present for 60 minutes and follow with 30 minutes devoted to individual questions. Participants will get reliable strategic information on big-dollar questions like:
- What contract language should plan sponsors add to their contract terms to ensure effective audits and market checks? What provisions should be avoided?
- What are audits typically looking to uncover? When should they be conducted?
- What are the pros and cons of real-time vs. retrospective claims review?
- What are market checks? When is the best time to perform them?
- What information will be needed to perform the market check analysis?
- What level of savings should PBMs expect to achieve by performing audits and market checks?
Visit http://aishealth.com/marketplace/c4p04_012814 for more details and registration information.
Atlantic Information Services, Inc. (AIS) is a publishing and information company that has been serving the health care industry for more than 25 years. It develops highly targeted news, data and strategic information for managers in hospitals, health plans, medical group practices, pharmaceutical companies and other health care organizations. AIS products include print and electronic newsletters, websites, looseleafs, books, strategic reports, databases, webinars and conferences. Learn more at http://www.AISHealth.com.