Prescription Drug Benefit Actuarial and Financial Consulting

• With respect to prescription drug plans, we believe that we have innovative experience, which even challenges the larger actuarial firms.  Our experience allows our clients to understand the different formulary, benefit design, rebate structures and administrative fees which exist in the marketplace and to compare alternative proposals.
    
• Our actuaries have experience in developing virtually all drug benefit structures currently offered by health care organizations.
    
• We have worked with virtually all of the major Prescription Benefit Managers serving our clients by providing an independent assessment of their claims experience and providing an alternative voice in the discussions.
    
• Our actuaries have developed independent formularies, which maximize the effectiveness of the health care dollar for our clients.  These formularies have been developed in collaboration with medical and pharmaceutical opinions with respect to medical necessity and balanced with financial concerns.
      
• Our actuaries were engaged to assist in the analysis and selection of alternative PBMs in most recent Multi-State Prescription Coalition Group, which resulted in millions of dollars of savings for our client.  This analysis included the comparison of alternative formularies provided by each finalist, as well as the proposed administrative costs and projected drug rebates guaranteed by each PBM.
    

• Our references are available with these clients.  Feel free to contact us.