About RedSpruce

WHY WE EXIST

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. 

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OUR EXPERIENCE

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.

PARTNERSHIP

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!

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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.

THE PLATFORM

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

Your Setup


  • Checkmark Your current contract
  • Checkmark Plan Designs
  • Checkmark Upcoming renewal (if applicable)

Your Data


  • Checkmark Full year of detailed claims data
  • Checkmark Full year of rebate data
  • Checkmark Stop Loss reports

Our Analysis


  • Checkmark Repriced claim report
  • Checkmark Initial set of recommendations
  • Checkmark Deeper discovery call to determine fit
PEOPLE

Meet our team

Danielle Santiago

Co-founder
CEO

Nicole Lu

Co-founder
CTO

Anthony Barr

Executive Director
COO

Holly Reyes

Creative Director

Gabriel Lewis

Product Lead

Theo Patel

Senior Developer

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