FOR EMPLOYERS

Healthcare & Pharmacy Benefits Consulting for Employers

Your costs keep climbing. You deserve to understand why—and what you can do next. PBMP helps employers understand what is driving healthcare and prescription costs, identify opportunities in their health plans, and explore practical ways to support employees. We work alongside your existing broker to turn complex information into clearer decisions.

Does This Sound Like Your Health Plan?

You are investing in employee benefits. But rising costs and complicated coverage can make it difficult to know whether your plan is working as well as it could.

Another renewal. Another increase.

Your costs keep climbing, but you need a clearer explanation of what is driving them and which options are worth considering.

Prescription costs are difficult to manage.

High-cost medications and specialty pharmacy claims leave you asking where there are opportunities to reduce spending.

Employees have coverage—and still need help.

Your team may be struggling with medication affordability, access to care or understanding where to turn for support.

You have reports, but need answers.

Claims reports show what happened. You need help understanding what deserves attention and what to do next.

A Clearer Strategy for Your Healthcare and Pharmacy Benefits

Every employer’s plan and workforce are different. PBMP helps you understand your priorities and explore approaches that fit your organization.

Understand your cost drivers

Explore pharmacy trends, specialty medication spending and other health-plan concerns so you can ask better questions and focus on the issues that matter.

Evaluate opportunities

Assess relevant pharmacy cost strategies and benefit options with your team, considering plan fit, employee needs and the requirements of each approach.

Support employee access

Explore resources and partner solutions that may help employees navigate medication costs and access to care, including telemedicine where appropriate.

Coordinate the next steps

Bring your broker and relevant partners into the conversation, agree on priorities and establish a practical path forward.

PBMP INTELLIGENCE | Powered by NavMD

Your Claims Data Should Do More Than Explain the Past. It Should Help You Change What Happens Next.

PBMP Intelligence combines claims data powered by NavMD with PBMP’s pharmacy expertise to help identify and evaluate cost opportunities. We help you understand the findings, prioritize what deserves attention and connect the analysis to next steps for your plan.

More Expertise Around the Table. Your Broker Included.

Your broker is an important part of your benefits strategy. PBMP works alongside your existing broker, bringing additional pharmacy insight and practical support to the conversation. Our advisory work considers prescription benefits and overall health-plan needs. Where medical expertise or additional services are needed, we work with relevant partners to explore appropriate support.

Questions Employers Ask About Working With PBMP

What does PBMP help employers with?

PBMP provides end-to-end pharmacy benefit optimization, including rigorous contract auditing, transparent purchasing model design, and proactive clinical oversight. We help employers secure fairer contract terms, optimize drug formularies, and recover hidden administrative margins.

Can PBMP work with our current benefits broker?

Absolutely. We routinely collaborate with existing benefits brokers, consultants, and HR advisors. Our team serves as specialized clinical and analytical co-pilots, giving your current broker the precise, data-backed insights they need to execute stronger negotiation strategies.

Is PBMP only focused on prescription benefits?

Yes, our primary expertise is pharmacy benefits because prescription drugs represent the fastest-growing and most complex cost-driver in employee healthcare. However, our programs seamlessly integrate with your major medical network to optimize disease management and plan coordination.

How can PBMP Intelligence help a self-funded employer?

PBMP Intelligence utilizes advanced predictive analytics to continuous-audit historical and current claims data. It flags inaccurate pricing, identifies high-cost clinical outliers, validates rebate capturing, and highlights concrete savings opportunities that traditional PBM portals obscure.

Can you help if employees are struggling to afford medications?

Absolutely. We help implement copay assistance alignment programs, direct manufacturer rebate routing, and patient assistance initiatives. These steps substantially lower or entirely eliminate employees' out-of-pocket costs for critical specialty and maintenance medications.

What happens when we contact PBMP?

When you reach out, we begin with a brief diagnostic call to map your current plan design. Next, we run a complimentary, risk-free analysis of your historical claims file. We'll present a detailed impact assessment showcasing where costs can be safely and immediately optimized.