02:11
Payer Matrix helps self-funded employers’ lower specialty drug costs and supports members through complex care with high-touch advocacy for specialty drug sourcing.
Transcript:
What is Payer Matrix?
Specialty drugs are one of the biggest pressure points today in healthcare. Less than 2% of the members use them, but they often account for more than half of the pharmacy spend. That imbalance puts serious strain on members and employees and leaves members feeling overwhelmed or unsure how to get medications they need. Payer Matrix partners with self-funded employers to help ease both sides ...
Posted July 14, 2025
02:22
Embla cuts GLP-1 costs in half and delivers 16.7% average weight loss by offering whole-person care through high-quality behavioral coaching and a low-dose GLP-1 treatment.
Transcript:
What is Embla?
So GLP-1 demand is exploding and employers are stuck between two really bad options. Skip the meds or rely on them entirely. Neither really works. Most programs treat obesity like a dosage problem. We treat it like a behavioral problem with a better and much smaller dose; so Embla offers a smarter third path. We are built by GLP-1 researchers and Danish health tech entrepreneurs with a backg...
Posted July 9, 2025
02:55
VIVIO is a healthcare model focused on providing the right drug for the right person at the right price using data-driven solutions, offering cost-effective alternatives to traditional PBM models.
Transcript:
What is VIVIO?
If you're listening to this, you're probably one of those people who are wondering about the PBM model because you've experienced it, and you're always wondering about why is it that, every year, we just keep paying more? And the complaints just rack up. So our mission is to solve the real problem that people are having today, which is about the right drug for the rig...
Posted February 5, 2025
02:30
Aphora Health offers a bolt-on solution that helps self-insured employers cut specialty medication costs by 30-40% with $0 copays — all while ensuring seamless integration and top-tier support from dedicated Care Navigators. Lower costs, better care, zero hassle.
Transcript:
What is Aphora Health?
Aphora Health solves a major challenge for employers, making healthcare more affordable while meeting employee demands for better options. We're a bolt-on solution that targets 1 to 2% of health plan members whose specialty medications account for up to 50% of the total pharmacy costs. By leve...
Posted January 31, 2025
02:26
The Rx Save Card allows employers to access prescription drug cash prices (such as Cost Plus Drugs) and discount cards, saving money for your company and your employees, without having to change PBMs.
Transcription:
What is RxSaveCard?
The RxSaveCard is the perfect compliment for any employer with a traditional PBM that is self-funded and is concerned about their ERISA fiduciary responsibility, or is hearing noise from employees like, "Hey, I see cash prices through discount cards or drugs at Mark Cuban are less expensive than my insurance. Why can't I get access to those?" And that's wh...
Posted September 12, 2024
02:52
Our "Curb Their Enthusiasm" quiz on hazards/side effects is uniquely and specifically designed to discourage employees from starting on weight loss drugs at your expense. If they do, you don't pay!
Transcription:
What is the Quizzify Weight Loss Drug Control Program?
Well, we are the only organization that actually is trying to dissuade people, dissuade what we call the GLP-curious, from starting on these drugs because most people who start on the drugs do not continue with the drugs. So we have a 26 question quiz. Here is one example, "Which is true about 'Ozempic face?'" Now, it happen...
Posted August 20, 2024
02:46
Leap Health is a specialty infusion cost optimization service for self-insured employers and TPAs. We drastically reduce the cost of specialty infusion drugs for plans and improve patient experience.
Transcription:
What is Leap Health?
Yeah, thanks, Chris. Leap Health is a national infusion provider that works with plan sponsors to reduce specialty drug costs and improve patient access and experience. Specialty drugs make up about 50% of employer drug spend, and infusion therapies make up about 35 to 40%. That number is only expected to increase in the future. Leap Health's model is simp...
Posted June 14, 2024
02:44
ScriptSourcing provides maintenance name brand medications for a $0 copay while reducing employer costs by over 50%.
What is ScriptSourcing?
ScriptSourcing is a risk management company. Our healthcare system is broken. Employers have been getting gouged for years and we're helping employers spend a lot less money. Initially, ScriptSourcing, our purpose was to focus on ways to reduce costs on name brand, and specialty meds. We've had a lot of success. We've saved employers hundreds of millions of dollars. Employees love us because they get their meds for free. We're saving employers 50 to ...
Posted June 10, 2024
02:37
We connect people with serious medical conditions with financial assistance to help them in their time of need, while saving the group plan the cost of their claims.
Transcription:
What is Samaritan Fund Program?
The Samaritan Fund Program provides financial assistance for people facing serious high-cost health conditions. It's also a powerful risk mitigation tool. Even with good insurance, many people struggle with the cost of their care. Premiums, deductibles, co-insurance are enough to financially overwhelm many individuals and families. Sadly, when faced with a severe illness, most p...
Posted April 17, 2024
02:33
SHARx removes barriers to healthcare through world-class supply chain management, procurement solutions, and education because we believe that healthcare should work for everyone.
Transcription:
What is SHARx?
SHARx is a medication procurement optimization service founded by two former benefit consultants. In working directly with self-funded employers for over a decade, I saw how broken our system was crippling employers, and as a parent of two boys with medication costs approaching a million dollars per child, I've also seen how difficult the system is to navigate, when all you want is...
Posted March 4, 2024
02:57
US-Rx Care brought fiduciary commitment to the PBM industry. Without the PBM conflicts of interest, we focus solely on delivering best clinical outcomes and lowest cost (30%-50%+ lower spend PMPM).
Transcription:
What is US-Rx Care?
Thank you. It's a pleasure to be here. US-Rx Care is a fiduciary PBM, and I'll come back to that in a minute. We really do lean into the word fiduciary. It's important to understand that we are not a product of the PBM industry. We came out of the health plan space. Think of director of pharmacy at Humana or Blue Cross or Centene back in the day when they had...
Posted February 22, 2024
02:46
Public Good Pharma is a biotech company that sponsors self-funding interventional pharmacoeconomic clinical trials, which can reduce spending on expensive specialty drugs by over 90%.
Transcription:
What is Public Good Pharma?
Public Good Pharma is a new kind of pharmaceutical company whose interests are aligned with reducing pharmaceutical expenditure for payers while improving outcomes for patients. We discover and clinically validate low-cost therapies that can substitute expensive specialty drugs and reduce pharma spend by over 90%. We do this by conducting Interventional Pharmacoeco...
Posted December 8, 2023
02:38
Adyptation provides a benefit solution that helps employers contain costs from specialty diseases while helping plan members who have specialty diseases feel their best.
Transcription:
What is Adyptation?
Adyptation provides a benefits solution that helps employers contain healthcare costs from specialty diseases while helping plan members who have these diseases feel their best. The cost of care for specialty diseases like rheumatoid arthritis or inflammatory bowel disease is really high for employers, expenses come from things like hospitalizations, emergency room visits, and specialty...
Posted July 5, 2023
02:49
Cottrill’s is a full-service independent specialty pharmacy, working with self-funded employer groups, brokers, consultants, PBMs, TPA’s and health plans.
What is Cottrill's Specialty Pharmacy?
Founded in 1899, Cottrill's is a full-service independent specialty pharmacy working with self-funded employer groups, brokers, consultants, PBMs, TPAs and health plans. We are licensed in all 50 states with dual accreditation, both URAC and ACHC. Cottrill's prides itself on its personalized approach to patient care with a team of experienced pharmacists and clinical specialists who work closely wi...
Posted April 28, 2023
02:37
Jasper Health is a hybrid digital and human led cancer support solution for people affected by cancer.
Transcription:
What is Jasper Health?
Hey, Chris. Thanks for having me. Jasper Health is an end-to-end oncology solution delivering psychosocial support and guidance for people affected by cancer. This support spans from diagnosis through remission to palliative and end of life care. Our solution is hybrid, meaning we provide a digital member experience led by human coaches. The digital component is our Jasper app. It's a smart planner tracking tool and personalized resource hub all in ...
Posted February 28, 2023
02:56
Clinically-Focused Pharmacy Benefit Optimization
Transcription:
What is TruDataRx?
Thank you, Chris. TruDataRX is a data analytics company that puts the power of comparative effectiveness research in the hands of self-insured plan sponsors who want to clinically manage their pharmacy plans. Now, this is important because the industry today relies on FDA approval criteria when designing formularies. But did you know that when the FDA is approving a drug, it asks the question, "Is this drug better than a placebo?" Basically, is this drug statistically better than nothing? This is weak. In ...
Posted February 24, 2023
02:23
Helping people get access to more affordable, high quality medications.
Transcription:
What is DART?
Chris, we bring affordable medicines, prescription medicines to employers and to customers. Those brand medications and specialty medications that cost thousands and thousands of dollars. We deliver great concierge customized service, and we typically save our customers somewhere between 35 and 75% off the cost of those prescription medicines.
How is DART different?
Three critical ways. The first one is we are absolutely obsessed with transparency. What we negotiate from a sourcing stan...
Posted February 10, 2023
02:48
TrueRx is a family run, pharmacist-led Pharmacy Benefit Manager. We provide ethical, transparent and patient focused programs with clinical solutions that put patients first and drive employer savings.
Transcription:
What is TrueRx?
TrueRx is a five generation family run pharmacy benefit manager. We've been bringing pharmacy innovation since the 1800s. We are headquartered in Washington, Indiana, and we operate nationally with over a quarter of a million covered lives in integration with over 50 TPAs. We bring patient focused solutions to provide the savings and protection that we find e...
Posted October 17, 2022
01:53
Saving clients >100 million last year alone, through patient prescription advocacy. We reduced their Rx spend by 50%.
Transcription:
What is Rx Help Centers?
We're a patient prescription drug advocacy company on a concierge basis with over 13 years of experience, which makes us one of the oldest in the industry. We help hundreds of employers reduce or eliminate high price medications from their PBM spend, generating anywhere from 50 to 75% off of their PBM cost and spend.
How is Rx Help Centers different?
We're fee based. We don't take a percentage of savings, which means we g...
Posted August 17, 2022
02:54
RxResults, the proven industry leader for evidence-based pharmacy risk management, empowers plan sponsors with informatics, clinical expertise & process execution for formulary & specialty drug management. RxResults doesn't replace the PBM, it serves to enhance the PBM model as an advocate for the plan & plan participants.
Transcription:
What is RxResults?
First of all, RxResults takes on the role of what we call a pharmacy risk manager. We act as an advocate for both the plan sponsor and for the plan participants. And in that role, we offer a couple of different solutions. O...
Posted August 16, 2022
02:49
We've built our company & culture around challenging the status quo disruption of the PBM industry with 21st-century technology, creating an ethical pricing framework for prescriptions, and delivering service that goes above & beyond what’s expected.
Transcription:
What is Capital Rx?
Capital Rx was founded about five years ago to bring radical transparency to the pharmacy benefit marketplace and really change the way that prescription drugs are priced and administered in the US. So the company is operating as a PBM: Pharmacy Benefit Manager, and a PBA: Pharmacy Benefits Administ...
Posted August 12, 2022
