case study: employer minimizing employee costs while ... · cost savings: % aggregate change from...
TRANSCRIPT
Addressing Rising Employee Drug CostsCompassion International, a child-advocacy ministry,
faced rising employee prescription drug costs but was
unwilling to compromise on its excellent employee benefits.
By reevaluating its reliance on a traditional pharmacy
benefit manager (PBM), the organization was able to realize
double-digit cost savings—at a time when most employers
experienced double-digit cost increases—without
compromising patient care.
Selecting the Right PBMCompassion International’s goal in soliciting a new PBM
was to lower costs while providing employees with the best
pharmacy plan possible. In particular, they sought a PBM
partnership that would provide clarity and peace of mind,
allowing the organization to focus on its business and its
employees. Following an exhaustive search, Compassion
International selected Navitus as its PBM partner.
To meet Compassion International’s goals, Navitus worked
collaboratively with the organization to put the following
elements in place:
Minimizing Employee Costs While Maximizing Employee Savings
CASE STUDY: EMPLOYER
▶ Established cost containment strategies with flexible
formulary approaches
▶ Implemented a consumer-centric strategy to successfully
change employee behavior
▶ Provided well-trained customer service representatives
to ensure first-call resolution and reduce Compassion
International’s Human Resources workload
▶ Integrated services with a health coaching program to
provide an integrated support model
Realizing Double-Digit Cost SavingsWith its new Navitus partnership, Compassion International
immediately realized extraordinary cost savings for both the
plan and its membership, with no compromise to patient
care. Working hand-in-hand with its new PBM, Compassion
International gained the flexibility and guidance to fully realize
its employee benefits vision, resulting in a co-developed
benefit management strategy that combined its objectives
with Navitus’ transformative pass-through approach, lowest-
net-cost philosophy, and outstanding clinical care model.
Using this new approach, Compassion International
experienced double-digit cost decreases, despite most
employers experiencing double-digit cost increases in the
same period. Gross cost and plan-paid amounts decreased
substantially, while Compassion International’s employee
population remained consistent.
After only 12 months with Navitus, Compassion
International experienced the following plan and member
cost savings:
% Aggregate Change from Prior PBM
Net Total Cost PMPM* -23%
Net Plan Cost PMPM* -26%
*Net of rebates.
Navitus’ focus on evidence-based formulary development,
objective clinical review, and lowest net cost resulted in
smarter drug purchasing and a significant reduction in
Compassion International’s overall net costs.
By switching PBMs, Compassion International not only
received improved guidance and flexibility to meet its specific
needs, but also improved member service and reduced
pharmacy costs. In addition, the ease of making formulary
changes to promote cost savings was a welcome change. As
for the organization’s employees, their overall health benefit
contribution remained unchanged.
Further savings included:
▶ 15% reduction in total program cost
▶ 17% reduction in total plan cost
▶ 29% reduction in days’ supply per member per month
(PMPM) cost
By revisiting its existing PBM offering, Compassion
International found a trusted partner that aligned with its
interests and produced results. With Navitus, Compassion
International can spend less time worrying about its pharmacy
benefits and more time focusing on its mission of helping
children around the world.
Getting Started Are you ready to get a clear view of your pharmacy benefit
savings opportunities and move your benefit management
in the right direction? Simply visit our website at
www.navitus.com or email us at [email protected].
Our holistic approach to well-being will always include
solutions with innovative partners like Navitus that allow
our staff to save money while enhancing their quality of
life. The integration of pharmacy benefits and our other
well-being solutions are key to our staff’s success.
Elizabeth RhoadsBenefits ManagerCompassion International
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