Optimize Self-Insured Benefit Plans

Make data-driven plan decisions to improve participant health and contain costs.

Pharmacy recommendation screen for self-insured plan sponsors.

WHY PCM

Independent Plan Validation

With PCM you can ​ensure your benefit plan and vendor contracts are meeting guarantees, no strings attached. We provide transparent, claim-by-claim data with expert service included.

Contain Plan Costs

Put your plan data to work by identifying bolt-on solutions to improve participant engagement and cut plan costs. From switches to low-cost alternatives to Rx tourism, our suite of solutions support your cost containment strategies. 

  • PCM Pharmacy Savings
  • Alternate Funding
  • International Rx
  • Rx Tourism
  • Specialty Rx
  • Precision PGx

Build Sustainable Benefits

PCM’s a la carte model lets you build a benefits strategy that supports plan goals, all in one place.

Plan Sponsor Built in Features 1

Built-In Features

  • Comrehensive reporting
  • Quick drug search
  • Budget planning
  • Interact with your broker
Plan Sponsor Value Added Tools 1

Value-Added Tools

  • Rebate managment
  • Comprehensive reporting
  • Cost containment
  • Clinical review
Plan Sponsor Engagement 1

White-Glove Engagement

  • Flexible enrollment
  • Participant outreach
  • Limited disruption

Improve Participant Health

Better support the financial and clinical needs of your participants with greater transparency and robust benifits.

  • Eligibility and utilization review
  • Fraud, waste, and abuse
  • Clinical insights
  • Budget planning
  • Pharmacy savings
Plan Sponsors Improve Participant Health

Top Resources for Plan Sponsors

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Drug Discounts scaled

Drug Discounts: How They Affect Plan Sponsors 

Drug discounts are reductions in the cost of prescription medications as negotiated by manufacturers and PBMs. Discounts usually depend on categorization and should reduce spend. Discounts affect self-insured plans in several ways.

Read

BLOG

AdobeStock 92652915 scaled

Including Annual Market Check Provisions in Rx Benefit Contracts

In the ever-evolving healthcare landscape, pharmacy benefits are crucial in ensuring affordable medication access for patients and plans. This blog explores why annual market check provisions are necessary and how they benefit plans and patients.

Read

BLOG

AdobeStock 500334568 Editorial Use Only scaled

Navigating Drug Shortages: How Employers Support Participants

Drug shortages are at a ten-year high, challenging patients and healthcare providers. These shortages occur when demand exceeds the available supply, leading to potential delays or unavailability of essential drugs.

Read

Optimize Self-Insured Benefit Plans

Make data-driven plan decisions to improve participant health and contain costs.

Plan Sponsor page header

WHY PCM

Independent Plan Validation

With PCM you can ​ensure your benefit plan and vendor contracts are meeting guarantees, no strings attached. We provide transparent, claim-by-claim data with expert service included.

Contain Plan Costs

Put your plan data to work by identifying bolt-on solutions to improve participant engagement and cut plan costs. From switches to low-cost alternatives to Rx tourism, our suite of solutions support your cost containment strategies. 

  • PCM Pharmacy Savings
  • Alternate Funding
  • International Rx
  • Rx Tourism
  • Specialty Rx
  • Precision PGx

Build Sustainable Benefits

PCM’s a la carte model lets you build a benefits strategy that supports plan goals, all in one place.

Plan Sponsor Built in Features 1

Built-In Features

  • Comrehensive reporting
  • Quick drug search
  • Budget planning
  • Interact with your broker
Plan Sponsor Value Added Tools 1

Value-Added Tools

  • Rebate managment
  • Comprehensive reporting
  • Cost containment
  • Clinical review
Plan Sponsor Engagement 1

White-Glove Engagement

  • Flexible enrollment
  • Participant outreach
  • Limited disruption

Improve Participant Health

Better support the financial and clinical needs of your participants with greater transparency and robust benifits.

  • Eligibility and utilization review
  • Fraud, waste, and abuse
  • Clinical insights
  • Budget planning
  • Pharmacy savings

Top Resources for Plan Sponsors

BLOG

Drug Discounts scaled

Drug Discounts: How They Affect Plan Sponsors

Drug discounts are reductions in the cost of prescription medications as negotiated by manufacturers and PBMs. Discounts usually depend on categorization and should reduce spend. Discounts affect self-insured plans in several ways.

Read

BLOG

AdobeStock 92652915 scaled

Including Annual Market Check Provisions in Rx Benefit Contracts

In the ever-evolving healthcare landscape, pharmacy benefits are crucial in ensuring affordable medication access for patients and plans. This blog explores why annual market check provisions are necessary and how they benefit plans and patients.

Read

BLOG

AdobeStock 500334568 Editorial Use Only scaled

Navigating Drug Shortages: How Employers Support Participants

Drug shortages are at a ten-year high, challenging patients and healthcare providers. These shortages occur when demand exceeds the available supply, leading to potential delays or unavailability of essential drugs.

Read

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