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Addressing Rising Employee Drug Costs Compassion 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 PBM Compassion 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

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Page 1: CASE STUDY: EMPLOYER Minimizing Employee Costs While ... · cost savings: % Aggregate Change from Prior PBM Net Total Cost PMPM* -23% Net Plan Cost PMPM* -26% *Net of rebates. Navitus’

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

Page 2: CASE STUDY: EMPLOYER Minimizing Employee Costs While ... · cost savings: % Aggregate Change from Prior PBM Net Total Cost PMPM* -23% Net Plan Cost PMPM* -26% *Net of rebates. Navitus’

▶ 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

© 2019 Navitus Health Solutions, LLC. All rights reserved. N6928-0919CS