PBM Vendor Selection and Leveraging

Health systems can hone and market their service offerings to local employers by first ensuring that their own employer programs operate efficiently and generate superior clinical, service, and financial outcomes. This involves aligning and managing disparate benefits vendors, e.g., health plans and PBMs to achieve employers’ goals. A key driver of success is establishing a “provider driven medical director” of the employer’s health plan, which Progressive can either help the employer secure at the local level or provide the services, ourselves. The medical director facilitates program design, management, and operation to both achieve and report on employer-specific target outcomes.

In most cases, Progressive can complete an analysis, create or hone an existing structure, and demonstrate appropriate results to use for local employer marketing in as few as six to twelve months.