By combining hard data with human intelligence, HealthPlan Data Solutions (HDS) translates complex pharmacy benefit data into insight, enabling you to maximize the value of your PBM services, identify mid-contract opportunities for cost savings, and ensure compliance.
HDS proprietary analytics technology identifies errors and utilization trends using 100+ scans in five key domains, including contractual terms, plan design, and more.
HDS pharmacy benefit experts help you and your PBM collaborate to determine the root causes of errors, reclaim payments, and prevent future overpayments.
HDS analysis provides ongoing, near real-time reviews of 100% of pharmacy claims to ensure optimal contract performance and compliance.
HDS is a software solutions company that offers a holistic, post-adjudication, prepayment solution that cuts through contractual complexities and brings visibility and accuracy to your pharmacy spend data.
Blue plans feel obligated to contract with a PBM owned by a competitor. HDS brings greater visibility to these transactional agreements to reduce spending and more efficiently manage plans.
“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.”