Wisconsin Pharmacy Benefits Combination Challenges National Giants
A “significant number” of southeast Wisconsin employers are in the pipeline to enroll in a new local pharmacy benefits program that promises savings and a departure from the much-maligned large national pharmacy benefits firms.
After receiving a positive initial reception from employers, the partnership between Navitus Health Solutions of Madison and metro Milwaukee’s Business Health Care Group plans to go nationwide.
The Business Health Care Group is a coalition that includes some of the largest Milwaukee-area employers and endeavors to contain health benefits costs. Navitus Health Solutions is a pharmacy benefits management company that promises to deliver savings of 15% to 20% compared with the “big pharmacy benefit managers” the first year an employer enrolls, said Navitus CEO president Terry Seligman.
Stay Informed and Connected
Receive expert insights, healthcare tips, and important updates on pharmacy benefits, drug recalls, and more—straight to your inbox.
Navigating with a trusted partner
Now Available: 9th Annual Drug Trend Report
Our Drug Trend Report provides a clear view of the trends shaping pharmacy benefits today, along with strategies that are delivering real savings without compromising care.
Related blogs
Navigating Healthcare and Improving Outcomes
Trend Over Time: Saving Money Isn’t a Race, It’s a Marathon
Partnering with the right pharmacy benefit manager (PBM) is about more than year-one savings. It’s about finding a PBM that truly understands and aligns with a payer’s needs, now and in the future. 10+ Years of Savings One of our clients, Self-Insured…
Rx Disruptors: Navitus Transparent Takedown
The Industry Problem and the Navitus Solution Traditional pharmacy benefit managers (PBMs), who currently control 80% of the pharmacy benefit management marketplace, have received intense media and regulatory scrutiny for their business practices….
Navitus Expands Digital Health Offerings with Hello Heart
At Navitus, we believe smarter pharmacy benefit management isn’t just about lowering drug costs. It’s about improving lives. Our approach goes beyond medication management to address the broader physical and financial well-being of the members we serve. …
The Role of Rebates in Pharmacy Benefits
In this blog, we’ll break down how rebates work, why they’ve come under increased scrutiny and how transparency — especially from your pharmacy benefit manager (PBM) — can help your organization truly lower prescription drug costs. …
PBM 101: Understanding Spread Pricing and Its Impact on Plan Costs
There is no shortage of questions surrounding pharmacy benefit business models, especially when medication costs continue to rise. One major area of concern centers on a practice that often goes unnoticed or not understood: spread pricing. …
Part D Star Ratings Adherence Measures: Enabling Strategic and Focused Support for High-risk Beneficiaries Through the Reporting and Intervention for Stars Excellence (RISE) Program
Authors: Wenxuan Cai, PharmD, PhD; Amanda Lee, PharmD; Caitlin Albrecht, PharmD; Maria Basak, CPhT; Casey Herlache; Capriana Hadel, MBA Executive Summary Adherence to key medication classes is a critical metric for evaluating health plan quality and continuous…
PBM 101: How to Evaluate Your PBM
Choosing a pharmacy benefit manager (PBM) isn’t just about managing prescription drug costs – it’s about ensuring your PBM operates in a way that aligns with your financial, operational and philosophical goals. A truly aligned PBM works toward the same…
Introducing NavitusClear with Costco® Cost Plus Model
NavitusClear is our designation awarded to partners that exemplify the level of transparency in drug pricing we believe should be the industry norm. This solution reflects the shared commitment between Navitus and Costco to address rising drug costs…
PBM 101: Understanding Transparency for Better Pharmacy Benefits
When it comes to pharmacy benefit managers (PBMs), the word “transparency” gets thrown around a lot. It’s frequently promised, widely discussed and inconsistently delivered. …
