Large Health Plans -new – Prescient Holdings Group

WHO WE SERVE

Large Health Plans

PHG brings in-depth knowledge of the pharmaceutical industry, helping large health plans reduce costs and reach their healthcare objectives.

EMPLOYERS

A partner you can trust.

Employers with large health plans choose PHG to gain more control over their pharmacy benefit plans, reduce costs, customize benefits, enhance transparency, and improve the overall healthcare experience for their employees.

This direct partnership allows large health plans to tailor their benefits to meet their unique needs and achieve their healthcare and financial objectives.

Our data-focused approach and extensive support team enable brokers and consultants to make informed decisions and track the effectiveness of benefit programs.

Game changing benefits for Healthcare Brokers

QUALITY CARE

By working with PHG, mid-market employers can ensure their employees receive quality care and access to the medications they need, leading to improved health outcomes.

COST CONTROL

Direct collaboration with PHG allows employers to negotiate and manage prescription drug costs more effectively, reducing overall healthcare expenses for both you and your employees.

CUSTOM BENEFIT DESIGN

PHG offers several plan options that provide large health plans with the flexibility to design pharmacy benefit plans that align with their specific workforce needs and budget restraints.

TRANSPARENCY

Get greater transparency into drug pricing, rebate management, and contract terms, ensuring that your organization and your employees have a clear understanding of the benefit costs.

ACCESS TO EXPERTISE

We are experts in pharmacy benefit management. Large health plans can leverage our knowledge and guidance to optimize benefit offerings and stay compliant with evolving healthcare regulations.

EMPLOYEE ENGAGEMENT

As experts in benefit management we understand what it takes to maximize employee engagement. We offer member engagement tools and resources that help employes make informed decisions about their medications, improving adherence and overall health outcomes.

DATA ANALYTICS

Our robust data analytics and reporting enable employers to track and analyze medication utilization, costs, and health outcomes. This data-driven approach helps employers make informed decisions.

DIRECT COMMUNICATION

Working directly with PHG fosters communication and collaboration, allowing large health plans to address issues, resolve concerns, and implement changes more efficiently.

COMPLIANCE SUPPORT

We assist large health plans in staying compliant with state and federal regulations, reducing the risks of non-compliant penalties.

PHARMACY NETWORK ACCESS

We offer access to extensive pharmacy networks, ensuring that employes have convenient options for managing medications and filling prescriptions.

COMPETITIVE MARKET CHECK

Discover potential savings you might be overlooking.

Are you considering a switch to a new formulary management and rebate aggregator? This free competitive market check will provide you with an estimate of the potential savings currently available to you, in just a few questions.

Why choose PHG?

Industry Leaders

We’re not just industry experts, we are a top 5 formulary management/rebate administrative service provider.

11 Million+ Covered Lives

We provide more coverage, including more than 200 plans covering commercial, medicare, medicaid, exchange LOBs.

Technology Driven

PHG is the industry’s technology leader in data analytics and competitive intelligence.

Independent

PHG operates independent of competing health plans or PBMs, allowing us to pursue the best options for our clients every time.

$2 Billion+ Rebate Revenue

More coverage means more rebate negotiating power. We’ve successfully aggregated over $2 billion in rebates for our clients.

Growth Minded

Since Jan 2023, we’ve added approximately 70 plan groups, doubled our workforce, and developed a cutting-edge technology platform for rebate optimization.

“My organization has been working with PHG for over a year, and my team continues to be impressed with the robust and comprehensive reporting package they provide. The level of detail and analysis is exactly what was lacking from our previous rebate aggregator. PHG's reporting package has become an invaluable tool for our PBM.”

"My PBM recently had the pleasure of onboarding with PHG, and I must say that their client services support was outstanding. From the initial consultation to the implementation process, their team was incredibly knowledgeable, responsive, and helpful."

“As a healthcare consultant in the market, working with the business development and underwriting team is an absolute pleasure. Their deep knowledge, expertise and professionalism has made client opportunities not only possible, but successful. I would highly recommend their services to anyone.”

"Our organization and partners appreciate working with PHG's clinical team who keeps our team up-to-date on the latest industry trends and market changes in real time. Their educational approach is thorough and engaging, and my team feels confident in our ability to make informed formulary decisions in collaboration with our clients based on the information and data PHG provides.

“PHG has a deep understanding of the complexities of formulary management and rebate aggregation and has been able to tailor their approach to meet our PBM’s specific needs. Thanks to PHG’s exceptional service, strategic contracting, and commitment to excellence, our PBM has been able to achieve substantial cost savings for our clients without sacrificing quality or service. PHG is truly an extension of our PBM business, and I couldn't be happier with their services.”