Unlike traditional PBMs, HealthTrans' plan changes
can be executed in real-time. Our experienced staff
is readily available to assist clients at every phase
of the plan design, monitoring and adjustment phases,
so they can easily implement plan designs that will
have a positive impact on their bottom line. Features
include:
Plan analysis, design and implementation
- allowing clients as much or as little control over
the process as desired. Our seasoned team ensures
seamless implementation and timely launch
Customized benefit structures - providing
exceptional control down to the patient level,
allowing for inclusions and exclusions for greater
plan flexibility, accommodating even the most
complex plan design
Multi-tier co-pay structure - can
accommodate percentage of fixed cost copays and
any number of other structures desired
Automated therapeutic protocols -
to more effectively execute plan-specific step
protocols and reduce cost of interventions
Brand interchanges - allowing for
exceptions to ensure appropriate generic substitution
and therapeutic interchange
Multi-domain rules - allowing clients
to design rules that can be combined to provide
flexibility in benefit design and administration
Deductible and benefit carry over
- allowing for varying benefit structures to ensure
ceilings and other stop-loss variables are accurately
tracked
Consumer directed benefits - allowing
patients greater control of their benefit dollars
Optimal drug cost management - ensuring
drug manufacturer rebates and formulary selections
are in line with business objectives
Integrated benefit savings accounts
- for enhanced patient satisfaction, due to the
reduction in reimbursement paperwork
Governmental best drug pricing -
assisting Medicaid and Medicare entities with
deeper cost savings they may not qualify for without
third party assistance
Mail order options - allowing clients
the option to offer mail order delivery, in an
effort to save enrollees money and increase payer
profits