 |
| Why should my company join? |
| Beyond great pricing, participation in the Rx Purchasing Coalition features: |
Independent plan design and dedicated account support |
|
Volume discounts unattainable by individual employers |
|
No administrative fees fees |
|
Lower claims processing and dispensing fees |
|
Higher manufacturer rebates |
|
Guaranteed rebates on every prescription |
| What unique services will the Rx Purchasing Coalition provide my organization? |
|
Lower-priced pharmacy benefit management (PBM) services from Systemed and Medco Health — TBGH's selected
PBM partner. Systemed understands the unique needs of employers with 1,000 or more employees and provides each participating client the
dedicated account support required to effectively manage their pharmacy benefit and contain overall costs. Medco Health, renowned for its
award-winning member services, provides prescription health care services to plan participants. |
|
A community-based commitment to managing health care costs while improving quality of care-the
Rx Purchasing Coalition and Systemed are committed to managing overall health care costs while improving quality of care within
and among the communities our member companies operate. Coalition members will participate in physician- and patient-focused outreach
programs, including educational seminars and targeted communications designed to encourage physicians and patients to make the best health
care decisions possible. |
|
Peer group reporting — Systemed recognizes that cost and utilization comparisons with peers are
key. Without compromising plan privacy, Systemed will provide comparisons across Rx Purchasing Coalition member companies, employers in the
region and statewide, and Systemed's extensive book of business nationwide. |
|
Higher manufacturer rebates |
|
Periodic User Group Meetings — Rx Purchasing Coalition Members can participate in user workshops
to review the performance of their individual plans and the performance of the Rx Purchasing Coalition as a whole, as well as identify opportunities
for improvement. |
| Will I have to adopt standard plan designs? |
| No. Each participating company retains flexibility in choosing copayments, medical management and other program
features. Rx Purchasing Coalition's selected PBM, with its various protocols and formulary, is the only requirement. |
| Will my data be shared with other participants? |
| Neither individual company data nor individual patient data will be shared. Participating companies will be able
to benchmark themselves against their peers, but employer-specific data will always be kept confidential. |
| How will Systemed help me manage my prescription benefit? |
| Each participating company has access to a dedicated account team that includes an account manager, a clinical
pharmacist, an analytical specialist, senior staff members, and a client service team, based in Texas. |
| An account executive and account director also oversee each client. Beyond providing day-to-day maintenance
and support, the Systemed account manager monitors program effectiveness and will pinpoint events and conditions that provide real insight
into the client's benefit plan's cost-effectiveness, quality of care, and future trends. |
| Systemed works closely with clients to implement new cost containment measures as their needs change and
helps to balance cost savings with member satisfaction. Clients receive: |
|
Access to Systemed's Client Web Site, which can be used for reporting, analysis, and plan modeling. The site can
also be used to handle routine updates and member needs online, such as override prior authorization rules, update eligibility, or perform
a number of other everyday tasks. |
|
Peer Group Reporting — Without compromising plan privacy, you can compare your plan's performance to your peers. |
|
Detailed Performance Reporting and Annual Performance Reviews — You get specific, actionable recommendations that can
help you manage Rx costs more effectively. |
|
Client Communications, including newsletters and regular clinical alerts that provide meaningful information about
new drugs and coverage recommendations, as well as new trends in pharmacy benefit management. |
| Who is Systemed? |
| As a wholly owned subsidiary of Medco Health Solutions Inc., Systemed L.L.C. provides prescription benefit
programs to employer groups with 1,000 eligible employees/retirees or more. Formed in 1997, the company directly manages more than 550
health plan clients across the nation and helps manage thousands more through Third Party Administrators (TPAs), brokers, and consultants. |
| Systemed provides its clients with a unique set of core services that enable busy benefits departments
to spend less time focusing on prescription benefits and more time focusing on other pressing issues. Systemed: |
|
Acts as an extension of your benefits department |
|
Helps you understand complex pharmacy and drug issues |
|
Provides you with actionable, data-driven recommendations |
|
Designs start-to-finish solutions that are easy to implement and track |
|
Helps you influence the behavior of your employees |
| By combining Medco Health's award-winning member services with Systemed's exclusive focus on meeting your specific
benefit program needs, you get The Best of Both Worlds. |
| How can I determine potential savings? |
| The Rx Purchasing Coalition can prepare a free savings
analysis that compares pricing from your existing plan to pricing
under the Rx Purchasing Coalition. If current plan pricing is not
available, we can provide estimated savings that are based on typical
plan costs. Contact a Coalition representative, phone: 214.382.3037,
to request a free plan analysis. |
| Which employers belong to this initiative? |
| Currently, several large employers that have a significant
employee population in Texas have decided to join, and we are in discussions
with several more. Contact a Coalition representative, phone: 214.382.3037,
for the latest coalition membership information. |
|
Fax:
(214) 382-3038