Challenges with Rx and managing it effectively

TRENDS

Rx costs continue to rise

With the approvals of innovative Cell and Gene therapies, pharmacy trends are not expected to slow down in 2024.​ The inflationary impact of pharmaceutical pricing is expected to be in the high single or double digits from 2023-24.

Graphic22
Graphic24
MORE

Managing drug costs feels complicated and overwhelming

The U.S. healthcare system is complex enough let alone trying to figure out how to navigate, manage, and contain Rx costs.  There are a ton of players and solution providers out there that makes it more confusing.

INDUSTRY

PBMs often have misaligned interests

The PBM industry has not been seen in the best light by often times generating revenue that isn't fully aligned to healthier member outcomes or bottom line savings for their clients.  

Graphic25
Graphic26

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.

LET'S CONNECT
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)
GET STARTED

Your Data

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

Our Analysis

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

One tool for all your metrics

GET A DEMO TRY FREE