Ongoing Management Services
To keep costs in line, employers must have the ability to manage costs on a continuous basis. Without ongoing plan management, time and money spent fine tuning plan designs and negotiating pricing and contracts can be wasted. In addition to staying abreast of the new blockbuster drugs and other formulary developments on the horizon, BancorpSouth improves plan results by:
- Implementing long-term and short-term plan goals
- Developing monthly "key" cost and utilization indicator spreadsheets to serve as a report card on plan goals
- Developing an immediate industry changes notification procedure
- Conducting monthly spot checks of claims to ensure the PBM is adjudicating claims at the negotiated contract pricing
- Including a detailed analysis of results of current year's experience compared against plan objectives and recommendations for new plan year
- Developing reports/analysis that are customized to client need
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