Real Examples

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Home Health Care Management (HHCM), based in Pennsylvania, provides nursing care and other home health care services throughout the communities it serves.

HHCM has 128 employees and 130 members on its health plans. 

As an organization, its goal is to keep on budget and be fiscally prudent in its healthcare spend in addition to being a company where employees feel valued and where they are given good benefits at a cost they can afford. One of the largest costs in the organization’s health care spend was for Pharmacy. Constance Morrison, President and CEO, needed a solution. 

We were showed how we would be able to redesign our benefits and take advantage of more aggressive pricing with its program. 

In four years, our company has recognized $607,923 in cost savings. In addition, our staff has been happy to have support in member outreach services, ease of enrollment and prescription refills mailed directly to their homes.

This is a winning proposition for all — for our company and board — and more importantly, in our efforts to recruit and retain good employees.

– Ms. Morrison

Without the program, HHCM’s cost for these name-brand and specialty meds would have been $715,203. 

With the program, the cost was reduced to $107,280 — an 85% savings!  

In addition, the employees have a $0 Copay with the program.

 Dickinson College, a private, residential liberal arts college in Carlisle, Pennsylvania, was looking to reduce its prescription drug expense. 

Dickinson had 721 employees on its health plan. 

Over time, the college had been shifting costs to employees with higher co-pays, deductibles, out-of-pocket exposure and premiums to keep up with rising costs. 

They found that employees were not adhering to their medication prescriptions, and several employees were functionally uninsured as they could not afford to pay their Rx co-pays.

Dickinson needed to solve this problem and fast. To mitigate health care spend and enhance employee benefits the enrolled in the program and within 6 months the college experienced a savings of over $120k. By the end of the year, the savings reached $177k. 

Employees pay $0 for name-brand medications while the college saved $177,000 in the first year. 

Rotary Corp, based in Glennville, GA, is a manufacturer and distributor selling to service dealers and distributors. Its extensive product line includes lawn mower parts and accessories such as blades, filters, spark plugs, tires, belts & pulleys, wheels, trimmers, edger blades, ignition parts and engine components.

Rotary has 350 employees on its health plan. 

Several months ago it needed help with the high costs of prescription drug costs. Within four months of using the program for named-brand medications, there have been 42 scripts discovered and a savings of $191,819.00 — that’s a 67% savings compared to PBM pricing. To make sure there was zero disruptions, employees have a $0 copay.

What makes this program even more exceptional is the level of service, explains Lisa Lester, Benefits Coordinator at Rotary. .

The process is easy – you get a 90-day prescription delivered to your home or work. What’s more, the staff is genuinely concerned about our employee needs, immediately responding to any inquiries and facilitating the process if needed. ~ Lisa Lester