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.
To be the leading pharmacy analytics platform in the world.
To identify, fix, and monitor prescription claim discrepancies and provide solutions to maximize the value of pharmacy benefit plans.
The HDS Pharmacy Data Analytics Product Suite
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.
The Kentucky General Assembly has made it a priority to increase oversight of our Commonwealth’s pharmacy benefit managers. Over this past year, HDS has successfully delivered on our vision by enabling greater transparency and establishing pharmacy payment integrity between KEHP and their contracted PBM. Their efforts have been beneficial for our taxpayers, KEHP, and represent a model for other states to consider implementing.
[HDS] is a strong communicator on difficult topics. We appreciate the laconic 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.