In the News

PQA Presents Quality Awards to 24 Medicare Plan Contracts for High Achievement in Medication Quality

5/14/2020
Pharmacy Quality Alliance

The Pharmacy Quality Alliance (PQA) has recognized 24 Medicare plan contracts with a quality award for high achievement or significant improvement in PQA measures of medication safety and appropriate use. The awards are based on published CMS Medicare Part D Star Ratings.

Navitus MedicareRx is recognized with an Excellence in Quality Award for PDPs and Dean Health Plan is recognized with an Excellence in Quality Award for MAPDs.

With Costco Now in its Corner, PBM Navitus Thinks Big

5/14/2020
RADAR on Drug Benefits

Serving just 6.2 million members, Navitus Health Solutions — a PBM owned by St. Louis, Mo.-based integrated health system SSM Health — is hardly one of the industry’s major players. But given that it features a “pass-through” business model in an era when opaque PBM structures are facing scrutiny, and Costco Wholesale Corp. recently purchased a minority stake in the firm, Navitus may be poised for a bigger spotlight.

NW Prescription Drug Consortium announces Moda and Navitus as contractors for their pharmacy benefit

3/5/2020
Oregon Health Authority

The NW Prescription Drug Consortium is pleased to retain Moda as their contracted program administrator and begin using Navitus as their pharmacy benefit manager (PBM) effective January 1, 2022.

Business Group Achieves First-Year Pharmacy Savings

2/20/2020
Milwaukee Business Journal

Employer costs for pharmacy benefits are continuing to increase partly due to the costs of specialty medications, said Jeff Kluever, executive director of the Business Health Care Group. Pharmacy benefit managers, which are third-party administrators of prescription drug programs for insurers, say they reduce those costs but Navitus takes it further by passing along to employers all rebates and discounts.

Small PBMs Urge Congress: Don't Kill Rebates

5/16/2019
Healthcare Dive

Smaller pharmacy benefit management companies, rarely in the spotlight, are urging Congress not to fundamentally alter the way prescription drugs are paid for in the U.S. As the Trump administration advocates banning rebates under Medicare and Medicaid, these lower-profile PBMs aim to convince lawmakers not to junk the entire system. They say Congress should start by examining business models other than just of the nation's largest PBM players.

Policy Makers Seek Answers for High Costs of Prescription Drugs

5/10/2019
Pharmacy Times

Members of Congress sought to deconstruct the drug supply chain Thursday in an effort to find ways to lower prescription drug prices. Hosted by the House Committee on Energy & Commerce, the investigational hearing drew testimony from health care industry experts representing drug companies, insurers, and patient advocacy groups.

PBM executive: Industry has been discussing end of rebates for a 'long, long time'

4/30/2019
FierceHealthcare

Though the Trump administration’s steps to end drug rebates have been met with outrage from pharmacy benefit managers (PBMs), these companies have been talking about a future without rebates for a long time, experts say.

Wisconsin Pharmacy Benefits Combination Challenges National Giants

4/9/2019
Milwaukee Business Journal

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.

Wrapping up 2018 and Looking Forward to the New Year

12/20/2018
Business Health Care Group - The Catalyst

Throughout 2019 we expect more BHCG member employers and non-members will move to Navitus as their pharmacy benefit management solution.

Data from Health Plans, PBMs Helps Lower Prescription Drug Costs

11/16/2018
Health Payer Intelligence

Surescripts Prescription Price Transparency Tool Realizes Massive Provider Adoption, Achieves Break

11/14/2018
Surescripts

The Surescripts Network Alliance™ is experiencing one of its fastest health information technology adoption curves to date as it transforms the prescription decision process, with a fortyfold increase in the number of prescribers utilizing its Real-Time Prescription Benefit tool since it launched last year. To date, prescribers have used the tool 30 million times to view patient-specific prescription price and therapeutic alternative information, integrated with their electronic health record (EHR) software, at the point of care.

A Tough Negotiator Proves Employers Can Bargain Down Health Care Prices

10/2/2018
NPR / ProPublica

One woman found a way to attack high health insurance prices. And that's news because it's hard for any one person to do. If you go to the hospital, the hospital charges your insurer, which passes the cost on to you. And it's hard to negotiate a better price in that system. Marshall Allen of the nonprofit newsroom ProPublica has been investigating high health insurance costs. And he has the story of a woman who used her power to hold them down.

Navitus Builds New Headquarters, Keeps Distance from Big Drug Benefit Managers

7/6/2018
Wisconsin State Journal

With a new headquarters going up at a prominent intersection on Madison’s West Side, Navitus Health Solutions is gaining visibility at a time when some of its competitors are trying to avoid attention.

Managed Care Pharmacy Leaders Are Honored at the Academy of Managed Care Pharmacy/AMCP Foundation

4/26/2018
Academy of Managed Care Pharmacy

The Academy of Managed Care Pharmacy and AMCP Foundation recognized a group of leaders who have contributed significantly to the profession of managed care pharmacy. Eight awards were presented at a gala Awards Dinner held April 25 as part of the AMCP Managed Care & Specialty Pharmacy Annual Meeting in Boston, Mass.

Managed Care Pharmacy Residency Director/Preceptor Award Recipient Marnie Wickizer, PharmD, is the Residency Program Director at Navitus Health Solutions.

Combating Fraud, Waste and Abuse: Trends and Intervention

10/19/2017
ACAP Webinar

Join Navitus Health Solutions as we explore the latest trends and best practices in combating fraud, waste and abuse on this educational webinar as part of the ACAP Vendor Education Series. From evaluating pharmacy behaviors to the growth of telemedicine prescribers, we will cover the newest factors impacting fraud and actions that can work for you.

Episode 13: Navitus Health Solutions, Gary Hattendorf & Byron Mickle

7/7/2017
Reconstructing Healthcare Podcast

In this podcast, Gary Hattendorf, Western Regional Sales Vice President, and Byron Mickle, Senior Vice President at Navitus Health Solutions discuss the differences in PBM models, formulary management and how Navitus helps manage pharmacy costs with a low net cost approach.

Full Service Pharmacy Benefit Manager Creating Transparency for Pricing and Spend on Drugs

1/2/2017
CEO/CFO Magazine

Terry Seligman, President & CEO, was interviewed by CEO/CFO Magazine and discussed how our transparent business model is resonating across the marketplace.

Impact of a Combined VBID & Medication Therapy Management Program on Diabetes Medication Adherence

11/1/2016
Journal of Managed Care & Specialty Pharmacy

Value-based insurance design (VBID) waives or reduces prescription copayments in order to decrease member cost barriers to refilling medications. Medication therapy management (MTM) is a member clinical intervention designed to reinforce members’ knowledge of their medications, which addresses barriers to medication adherence. Both methods have been shown to increase adherence in members, particularly when used in combination. To date, studies of such combined programs have often been completed within integrated health systems but have rarely included control populations.

Navitus Health Solutions expands in Appleton

4/3/2016
The Post-Crescent

APPLETON - When Navitus Health Solutions built an office here in 2013, its executives figured the big building along Interstate 41 would meet the company’s needs for five years. They were wrong. They ran out of space in two years. Construction is underway now on a second Navitus building next door with a price tag of more than $13 million. It’s 70 percent larger, at 120,000 square feet, than the first building and will be able to house up to 500 employees when it's ready in October.

Elixir for Growth: Navitus embraces transparency to dramatically reduce drug costs

8/1/2015
Insight on Business

Debbie Ludka is used to the question by now. When people ask where she works or see she's wearing her Navitus Health Solutions shirt or badge, they respond: "Navitus - that's the big building off of 41 - what do you do there anyway?" Ludka answers quickly, saying Navitus is a pharmacy benefit manager that administers prescription drug plans for insurers, government plans and self-insured businesses.

Exclusive: Navitus to Hire 70 for New Phoenix Regional Office

4/23/2015
Phoenix Business Journal

Navitus Health Solutions, a Madison, Wisconsin-based pharmacy benefit manager, is opening a regional office in Phoenix, with plans to hire 70.

Jokake Construction is the general contractor on the $2 million, 22,000-square-foot project near Loop 101 and 56th Street, expected to be open in June. The architect is Potter Lawson Inc., with Evolution Design Inc.

Navitus Manages to Grow by Managing Customers' Pharmacy Benefits

3/20/2015
Milwaukee Journal Sentinel

Navitus Health Solutions LLC, a pharmacy benefits manager, says new customer growth has it expecting to hire 130 employees in Wisconsin by the end of the year.

The Madison company is projecting it will have 570 employees by the end of the year, up from about 440 now, said Terry Seligman, president and chief executive officer. It has about 300 clients now, up from about 100 in 2011, he said.