Not all PBM services are the same. BeneScript specializes in providing a full range of pharmacy benefit management services priced as an all-inclusive annual administration fee to employer groups, municipalities, school districts, and TPAs. We can provide our clients with greater cost controls, not only in front-end plan and formulary design, but also at the point of sale. We’re so confident that we can save you money and keep your members happy that we are even willing to put our fees at risk.
Our Savings Model
We create projections based on well-defined plan management. This isn’t simply applying trend to last year’s experience. We take your census data, plan design, and previous 12 months of experience and, using a database established since the company’s inception, project the anticipated costs for the upcoming plan year. Generally, these projections are well below what the previous vendor estimated by adding trend to their experience. Our proactive approach to reduce costs includes:
Coordination of benefits – see 3% to 10% savings
Tighter COBRA management – see 2% to 5% savings
Tighter eligibility management – see 2% to 5% savings
Continuous monitoring of our network – see 1% to 3% savings
A Human Touch
We believe that our client administrators and members should have a single point of contact who is their advocate. To accomplish this, we’ve combined all the tasks that usually reside in various departments and made them the responsibility of one person—your client services manager. Your client services manager is not only your everyday contact, but also the same person who will manage:
We also apply human logic in the adjudication process to identify issues early and help our clients save money. With a single point of contact between the client services manager and members, and the synergy that develops, we are able to easily identify issues that a system cannot, aiding in utilization management and associated client cost.
The Pharmacy Network
Because the network you choose can impact cost and service, we provide plan design options that incentivize your members to fill their prescriptions via a local pharmacy to offer greater savings and service. This value-based approach allows local and regional partner pharmacies to provide you with:
Local service – Clients and members benefit from preferred rates at local pharmacies
Mail order options – For clients who wish to provide the convenience of mail order
Wraparound pharmacy network options – Allows members outside the area to fill their medications at convenient locations