Comprehensive Rx platform with concrete results

WHAT'S DIFFERENT?

Individualized approach

Each of our groups requires a tailored approach to maximize savings opportunities while ensuring positive member experiences and health outcomes. Transparent data and information are crucial in our collaborative decision-making process and in aligning all key stakeholders for success.   

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DETAILS

Tackling Rx on both Pharmacy AND Medical benefits

About 50% of Rx costs are buried on the Medical benefit.  Most pharmacy benefit managers only focus on the pharmacy benefit side and miss huge savings opportunities. RedSpruce has a lens into both and works to optimize each claim.

SKIN IN THE GAME

Guaranteed savings model

Our goal is to fully align our interests with those of our clients. To that end, we offer a Guaranteed Savings model where our compensation is contingent upon saving money for our clients. This approach allows us to truly forge a partnership by having a vested interest in their success.

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OUR RESULTS

Case Study: 50% reduction in Rx spend

SITUATION

A 250 life group experienced very high specialty drug costs which accounted for 80% of their overall drug spend 

SOLUTION

Implemented our platform utilizing our guaranteed savings model along with targeted specialty drug cost containment programs tailored specifically to the group

IMPACT

Resulted in a 50% reduction in overall Rx spend, over $500k in annual savings, with very low member disruption. A win-win with our guaranteed savings model

LET'S CONNECT
THE PLATFORM

Here’s how RedSpruce delivers 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)
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Your Data

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

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

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