Problem
The evolving healthcare landscape and rising prescription drug costs continue to put pressure on our clients’ budgets. As a trusted advisor, PBDRx actively engage in open, collaborative, and continuous discussions to navigate these complexities and continue driving cost savings for both the plan and its members.
One long-time PBDRx client, a large municipality group with over 4,300 members, was seeking guidance in how to continue delivering value to their members and the plan while facing budget restrictions and changing market dynamics. PBDRx prepared a targeted solution to evolve their plan in alignment with their clinical and financial goals, focusing on cost savings, member satisfaction, and plan performance.
“PBDRx understands the unique and challenging issues that a municipal health plan has, especially with the rising costs of prescription and specialty medications.” – Plan Administrator
Client Overview
Industry: Public Sector
Group Size: 4,300
Plan Type: Self-Funded & EGWP PDP
“We are certainly satisfied with the overall performance. I think the ‘why’ we are so satisfied is multi-factored. The factors behind how I make a decision are people, product and price.” – Plan Administrator
Solution
PBDRx delivers a high-performing, balanced, and flexible solution that supports member satisfaction and long-term value through three core dimensions: people, product, and price.
- People: A dedicated client service team that consistently provides proactive, empathetic guidance and resolves issues quickly.
- Product: Customized plan design and comprehensive clinical oversight optimize members’ well-being while keeping the budget in check.
- Price: Strong network discounts and a flexible contract structure unlock greater cost savings and allow the plan to reinvest their savings.
Results
PBDRx’s strategy combined expert contract negotiations with seamless integration alongside the municipality’s Third-Party Administrator to secure significant, meaningful savings.
Despite complex and shifting external pressures, the savings afforded by PBDRx empowered the municipality to do more than just react to rising costs, it enabled them to invest in the future of the plan and its members.
With these savings, the municipality launched a proactive wellness program, offering tools and programs designed to keep their most valuable asset – their members – healthier, longer.
By driving this shift from reactive to proactive care and supporting the launch of this wellness initiative, PBDRx reaffirmed our commitment to improving health outcomes through savings that make a difference.
PBDRx has proven to be a vital partner for this municipality group, offering far more than just cost savings. As their long-standing trusted advisor, PBDRx continues to support the plan in:
- Delivering a high-performing benefit
- Maintaining diligent cost control without compromising care
- Confidently meeting today’s needs while preparing for tomorrow’s challenges
“There’s a level of comfort from having trusted expertise in your corner.” – Plan Administrator
With a focus on people, product, and price, PBDRx empowers our clients and supports their members while seamlessly managing complex priorities and budgets. All the while, our goal remains the same – building partnerships that last.