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.
“We are a data analytics technology company with a SaaS-based payment integrity platform. Our team of pharmacy reimbursement experts delivers immediate strategic value and financial savings to our clients.”
HDS provides the expertise and tools to support more transparent and collaborative relationships with PBMs, which can lower costs, ensure regulatory compliance, and deliver better healthcare to patients.
Identify, fix, and monitor pharmacy claim overpayments and drug utilization trends to identify savings opportunities and improve pharmacy claims management.
Validate PBM performance and ensure compliance by measuring results against key performance benchmarks for the PBM industry.