About RedSpruce
Here to make a difference
We started RedSpruce with the belief that we can help bend the healthcare cost curve for our clients by fully aligning to our client's bottom line. We want to simplify the complex and stay ahead of the curve to continually deliver year over year.
Led by Rx industry and health insurance leaders
We leverage our 30+ years of experience, networks, and deep relationships across the healthcare spectrum to bring forward a platform that is built to fit any situation and delivers tangible results.
We can't do it alone
Partners are critical to our success especially third party administrators (TPAs). We value the true, independent TPAs that are not beholden to the big carriers or other large PBMs that are fighting to do the right thing for their clients. If you are not a partner of ours today and would like to explore the possibilities, please reach out!
How RedSpruce can help
SIMPLIFY
We recognize that managing drug costs can be confusing. Our goal is to simplify the process and make it easier for everyone involved.
ALIGN
Our desired outcome is to build a long term partnership with our clients that is fully aligned to delivering savings year over year while providing outstanding member service.
ADJUST
The healthcare system never sits still and nor do we. We have to continually stay ahead of new trends, legislation, and potential new partnerships to ensure we consistently deliver.
Here’s how we deliver results
Foundation
By leveraging one of the most robust PBM backbones in the industry, our platform delivers exceptional member service and bottom line results
Analyze
Pinpointing cost drivers within both the pharmacy & medical benefits is crucial for planning and optimizing the setup for each group
Optimize
Based upon the group's makeup, our team will offer a range of setup options to ensure low member disruption while maximizing savings opportunities
Measure
Once implemented, we'll continually measure our results and identify any new high cost drug claims to proactively manage & mitigate costs
Here's what we need to deliver an initial analysis
Our Analysis
- Repriced claim report
- Initial set of recommendations
- Deeper discovery call to determine fit