Controlling medical and pharmacy benefit drug costs and navigating the complexities of the drug supply chain is a top challenge for health plan leaders. To truly excel, you need more than just data, you need action — a comprehensive, integrated strategy and creative approaches with an unbiased, independent partner.
Our Approach
Imagine a different approach to managing drug benefits. At AArete, we understand and have experience with all aspects of the drug supply chain. We work with health plans, employers, and providers to address some of the biggest drug management challenges including, but not limited to PBM (Pharmacy Benefit Management) strategy, utilization management, high-cost specialty drugs, and price transparency.
Our team of pharmacy and healthcare experts offer a powerful combination of clinical, operational, economic, and technological expertise and tools to collaborate on innovative solutions to lower costs without compromising quality.
Who We Serve
Health Plans
Government-funded and commercial health plans seeking innovative solutions to reduce costs while improving member satisfaction and quality of care.
Providers
Retail, specialty, and hospital pharmacies committed to member experience and optimizing drug therapy.
Employer Groups
Employers eager to lower drug costs and improve employee healthcare experience.
Areas of Expertise
TOTAL COST OF CARE (COC) SUPPORT
Improving the bottom line by identifying, implementing, and optimizing drug cost management initiatives, such as:
- Drug cost and trend analysis
- Utilization and unit cost strategies
- Specialty drug management
- Drug COC portfolio optimization
- Prior authorization effectiveness
- Network solutions
- Alternative pricing strategies
PHARMACY BENEFIT MANAGEMENT
Our solutions address a comprehensive strategy for pharmacy benefits, such as:
- PBM vendor strategy and relationship management
- PBM contracting
- PBM payment integrity and performance management
- Specialty drug management
- Formulary/PDL/Benefit design
MEDICAL RX MANAGEMENT
Through analysis of medical claims data, AArete experts identify and implement strategies and best practices to reduce costs, such as:
- Preferred drugs
- Manufacturer rebates
- Prior authorization optimization
- Provider fee schedules
- Payment integrity
- Home infusion
- Network (including 340B) optimization strategies
- Clinical programs
- Alternative pricing strategies
PHARMACY PROGRAM MANAGEMENT
Collaborate to build the future of drug benefits management with AArete with solutions including:
- Program innovation and transformation
- PBM operating model optimization
- Organizational structure
- Vendor oversight
- Operations effectiveness
- Clinical program support
- Quality improvement strategies (inclusive of HEDIS, STARS, operations quality, etc.)
- Technology and automation/optimization
Pharmacy Insights
Let’s Talk About Your Pharmacy Needs
Whether you’re looking for a consulting partner who can adapt to your health plan’s specific needs and drive results, or just curious about our services and solutions, let’s talk.
