What We Do

PBM

Employers Health Solutions is a subsidiary of Employers Health, which has managed one of the nation’s most competitive Pharmacy Benefit Management (PBM) contracts and group purchasing programs for more than 20 years. Our team – including PBM and contracting experts and clinicians – brings together comprehensive solutions to meet your needs. Services include:

  • Comprehensive review, analysis and written assessment of the current prescription drug strategy including:
    • Plan design recommendations
    • Clinical management recommendations, including specialty drug strategy
    • PBM contract assessment
    • Onsite clinic assessment
    • Overall plan performance
  • Contract renewal, negotiation support and guidance on best practices
  • Vendor RFP development, selection and contract negotiations

Benefit Procurement and Strategic Advising

In the face of growing scrutiny on employer-based health benefits, Employers Health Solutions works with its clients to identify strategies which allow clients to offer sustainable high-quality benefit offerings. Employers Health Solutions offers the following services:

  • Development of multi-year strategic benefits plans
  • Plan benchmarking and plan design
  • Evaluating and managing a competitive bid process for the following:
    • Medical ASO/TPA services and network evaluation
    • Pharmacy/PBM services
    • Dental
    • Vision
    • Life and disability
    • Benefits Administration services
    • Private Exchange services
    • Medical audit
    • Pharmacy audit
    • Stop-Loss procurement
    • Consultant and actuarial services

How We Help Consultants How We Help Employers