Case Studies
HealthPlan Data Solutions (HDS) was selected by the leadership team of a state employee health plan representing nearly 300,000 covered lives to establish an industry leading pharmacy payment integrity program.
A mid-sized, regional health plan partnered with HealthPlan Data Solutions (HDS) to implement a differentiated pharmacy benefit oversight solution following years of poor experiences with their traditional PBM audit process.
A national health plan collaborated with HealthPlan Data Solutions (HDS) to initiate a pharmacy claim monitoring program. Implementing Claim Scan, the plan saved $12.3 million over two years.