HealthPlan Data Solutions

ABOUT US

Bridging the Divide Between Payers and PBMs with Payment Integrity Solutions

HDS is a software solutions company that leverages leading-edge technologies and industry expertise to drive out over-spend and deficiencies in contract compliance, design, and terms in the pharmacy distribution channel, thereby delivering cost savings, accuracy, and compliance. Our emphasis on data-driven accuracy supports better outcomes for payers, PBMs, and the members they serve.

Our Unique Approach to Payment Integrity

HealthPlan Data Solutions was established in 2010 by a team of pharmacists and IT professionals who saw a need for a more objective, fact-based approach to managing pharmacy benefit costs.

The HDS technology platform is about more than PBM auditing, comprehensive claims reviews, and cost-containment. We strive to deliver total, near real-time transparency in the pharmacy distribution channel with data-driven tools that promote accuracy and enable payers, PBMs, and government agencies to manage their pharmacy benefit more proactively and eliminate errors and over-spending.

Our Vision

To be the leading pharmacy analytics platform in the world.

Our Mission

To identify, fix, and monitor prescription claim discrepancies and provide solutions to maximize the value of pharmacy benefit plans.

The HDS Pharmacy Data Analytics Platform

Pharmacy Data
Insights

Rx Oversight & Analytics

Rx Oversight & Analytics

Payment
Integrity

HDS Claim Scan

HDS Claim Scan

Campaign Management & Compliance

RevealRx

RevealRx

Customized
Services

Audit | RFP | Contract Analysis

Audit | RFP | Contract Analysis

Pharmacy Data
Insights

Rx Oversight & Analytics

Payment
Intelligence

HDS Claim Scan

Campaign Management & Compliance

RevealRx

Customized
Services

Audit | RFP | Contract Analysis

"In the first year, Rx costs for the group were reduced by 22%. They experienced another 5% reduction in the second year with flat utilization. I would recommend HDS because of their unflagging determination in bettering the understanding and culture of their clients, while also helping them realize year-to-year cost savings."
President & CEO, Controlling Partner
Brokerage Firm
"[HDS] is a strong communicator on difficult topics. We appreciate the iaconic approach. It was clear their team is very experienced in the pharmacy benefit space and were essential in helping our team navigate the error resolution process efficiently."

Director of Pharmacy Operations
Multi-State Health Plan
"This is the most detailed and thorough audit we’ve ever received from an auditor. The 100% review of claims gave insight far beyond what other groups have been able to provide. You've done a great job! Thank you for taking the time to work through the calculations with us."
Manager, Health Insurance Benefits
State Retirement System

Learn How HDS Can Optimize Your Pharmacy Benefit Performance

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