02:46
RxManage cuts pharmacy costs up to 70 percent by sourcing brand medications from licensed Tier 1 pharmacies. Employers save money while employees receive zero copay, pharmacist-supported home delivery.
Transcript:
What is RxManage?
If you manage a self-funded health plan, you're feeling the pressure of pharmacy trend, especially from brand-name maintenance drugs that quietly drive year over year increases. Most employers assume their PBM contract is the lever that controls cost. In reality, the biggest opportunity is price variation and the widest disparities exist outside the US supply ...
Posted December 4, 2025
02:31
ClearCaptive employers annually receive premium increases below medical inflation and leveraged trend by working with consultants and brokers to reduce renewal chaos, keeping employers in control and providing Human Resources a plan they can actually build on.
Transcript:
What is Medical Captive Underwriters?
If you've ever had a self-funded client blindsided by a renewal, forced to gut their plan, or raise contributions, you know how broken the system can feel. Clear Captive flips the script. We're a medical stop-loss group captive that helps employers control healthcare costs without s...
Posted August 6, 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
02:38
ClaimChoice empowers self-funded employers to cut healthcare costs 20–30% through member advocacy and proactive claims management, helping brokers retain clients and avoid renewal chaos.
Transcript:
What is ClaimChoice Administrators?
If you've ever had a client stuck in a fully insured plan that's no longer working, but too overwhelmed to change, you're not alone. Rising costs, rigid networks and confused members are the norm. ClaimChoice flips that script. We're a third party administrator and Benefits Studio built for brokers who want smarter self-funded plans without chaos. Our appro...
Posted July 1, 2025
02:56
Discover how Tria Health's pharmacists provide clinical oversight of pharmacy services to enhance patient care. As medication experts, they manage chronic conditions, coordinate care, and optimize medication use, including GLP-1 oversight, to improve health outcomes.
Transcript:
What is Tria Health?
Tria Health is a leader in chronic condition management space. We provide members with chronic conditions access to their own clinical pharmacist to improve health outcomes, eliminate waste. You may be asking, why pharmacists? Well, since we treat chronic conditions with medications, and phar...
Posted May 12, 2025
02:40
BlueGenes streamlines pharmacogenetics by integrating with pharmacy benefit managers to prevent ineffective prescriptions in real time, improving treatment precision for self-insured and state-funded health plans.
Transcript:
What is BlueGenes?
BlueGenes is a pharmacogenetic platform. For those of you that don't know, pharmacogenetics is simply the science of what drugs work and what drugs don't. We are our own laboratory, so we perform our tests in-house, but the test itself is a complete commodity. There are many laboratories capable of running a genetic test. What BlueGenes does is it...
Posted May 12, 2025
02:37
Navion is a pharmacy consulting company that helps clients manage costs and complexities in pharmacy. We provide unbiased guidance, expert insights, and strategies for savings and growth.
Transcript:
What is Navion?
Navion is a pharmacy consulting company and a trusted partner. The combined leadership alone having over 100 years of experience in pharmacy. What we do best is help you control the rising cost and complexity of pharmacy. We specialize not only in offering expert pharmacy consulting, but we give you access to market-leading pharmacy contracts and clinical insights, allowing y...
Posted May 12, 2025
02:53
Truveris helps self-funded employers and benefits consultants control pharmacy spend through independent PBM procurement and ongoing plan performance monitoring.
Transcript:
What is Truveris?
So, benefits brokers and employers know that pharmacy contracts are increasing in price and are becoming more complex, and Truveris is a solution for that. So, we are an independent pharmacy benefits platform that supports self-funded employers with obtaining an optimal pharmacy strategy. Now, over the last 15 years, we at Truveris have invested tens of millions of dollars to build an innovative tec...
Posted May 12, 2025
02:35
Lucidus helps brokers, TPAs, and plan sponsors turn RxDC reporting and gag clause compliance into bottom-line wins, unlocking visibility, avoiding lawsuits, and making clients look like heroes.
Transcript:
What is Lucidus Compliance?
If you're like most benefit professionals, compliance isn't your favorite part of the job. RxDC reporting, gag clause attestations, mental health parity, all required, all time consuming, and all too easy to treat like a box to check. At Lucidus Compliance, we do more than check the box. We help use compliance as a strategic advantage. For brokers and TPAs, ...
Posted May 8, 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
02:44
ProAct focuses on serving self-funded plan sponsors in a consultative approach; helping clients navigate complexity and maximize cost avoidance opportunities that align with their benefit strategies.
Transcript:
What is ProAct PBM?
ProAct is a nationwide full service PBM with its own mail order services and specialty pharmacy. ProAct is the leading division and a wholly owned subsidiary of a larger ESOP holding corporation known as KPH. With headquarters in New York state, KPH maintains over 2 billion in annual revenue with all eight of its divisions contributing to pharmacy and pharmacy...
Posted January 21, 2025
02:38
MedOne is a full-service PBM focused on cutting out traditional middlemen to connect organizations and their members to high value therapies and pharmacies.
Transcription:
What is MedOne?
MedOne is a full service PBM based in Iowa. We have membership in all 50 states. We operate on a financial model that is 100% pass through of all discounts and rebates to our clients. We're independently owned and have full ownership over the services we provide. From our claim system to our clinical programs, member call center, specialty solutions, plan builds, it's all done in-house, which allows us ...
Posted January 17, 2025
02:41
Simplify healthcare with Synergy Healthcare’s “One Nurse, One Employer” Care Navigation Model. Trusted support for employees, boosting engagement, and improving outcomes.
Transcription:
What is Synergy Healthcare?
Synergy Healthcare can enhance any health plan through our one nurse, one employer, Care Navigation Model that employees love and utilize. Care Navigation is needed because healthcare complexity is a big problem. It goes way beyond employee noise, it is doing real harm. Complexity causes confusion and overwhelms most people. It leads to low health engagement, increased chroni...
Posted January 17, 2025
02:55
Rightway is the industry’s most transparent PBM, with an aligned model that drives every prescription to the lowest net cost.
Transcript:
What is Rightway PBM?
Thanks for having me. Chris. Rightway, as a whole, is a healthcare technology and benefits services company that specializes in both clinical care navigation and pharmacy benefits management. Our mission is to help patients navigate the complex world of benefits and drive towards healthcare's, triple aim, lower costs, better outcomes, and happier patients. For too long plan, sponsors have felt trapped in the legacy PBM model that ...
Posted November 6, 2024
02:47
We offer the first ever PMPM guarantee that capitates at a fixed unit cost all future pharmacy risk for an employers independent of drug mix or future utilization through our preferred panel of PBMs.
Transcript:
What is Writewise?
It's a PMPM guarantee platform.
How is Writewise different?
Well, the way we work is that every pharmacy benefit manager that is on our platform has to go ahead and give us a universe of data that allows us to go ahead and price their unit cost, and what that allows us to do through the platform is eliminate the spreadsheet game completely, so now, when the P...
Posted October 16, 2024
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
02:24
As one of the top 25 PBMs in the country, EHIM Powered by ProCare is not just another outsource vendor PBM - we’re a proven and DIRECT-source partner committed to going beyond simply transparent.
Transcription:
What is EHIM?
EHIM Powered by ProCare, is a National Pharmacy Benefit Manager. We have been servicing millions of lives for more than three decades.
How is EHIM different?
EHIM is different because of many different factors. First and foremost, the length of time many of our employees have worked for our PBM. In an industry where it seems like competitors pop up almost every wee...
Posted August 16, 2024
02:48
WellDyne is a leading PBM, with 30 years of success keeping clients’ pharmacy costs low and quality of care high. We are redefining innovation, care, and transparency in the industry.
Transcription:
What is WellDyne?
WellDyne is a full service pharmacy benefit manager that has kept pharmacy costs low and quality of care high for our clients for more than 30 years. We help healthcare payers and patients take control of pharmacy costs with a focus on specialty pharmacy, the fastest growing cost within healthcare today. Our mission is to be a disruptive force with a relentless focus on remo...
Posted June 24, 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
02:51
Large Prescription Benefits Managers are becoming more RIGID. We remain NIMBLE. We design prescription benefits that align with the needs of the plan sponsor and the employee population they serve.
Transcription:
What is Appro-Rx?
Appro-Rx is a truly transparent, pass-through prescription benefit manager. Our job is to manage your prescription plan. We negotiate the best price group prescriptions and pass all discounts and rebates back to the plan. It's that simple. There are no hidden revenue streams that incentivize us to design a formulary that does anything but give your employees th...
Posted June 7, 2024
02:27
Angle Health isn’t just another health plan or TPA – we’re a frictionless health plan experience offering a level funded solution in over half of the country for 2+ employees in most states.
Transcription:
What is Angle Health?
Angle Health is a level-funded health plan in the market where we serve as the carrier, MGU, and TPA, underwriting on our front end carrier relationships with A-rated paper. We focus on removing the burden of procurement for the brokers and consultants that we work with, the burden of management for the employer clients, and the burden of access for the members, a...
Posted May 19, 2024
02:23
Decent builds level funded employer health plans around Direct Primary Care for 40% less than market rates.
Transcription:
What is Decent?
Decent is a healthcare startup that builds level-funded health plans around direct primary care for 40% less than fully-insured market rates. And when a member listens to their direct primary care doctor, all of their covered care costs $0 out of pocket.
How is Decent different?
Well, let's talk about what it is today to have a health plan because right now, the average health plan costs for small businesses has quadrupled since the year 2000. It co...
Posted May 10, 2024
02:37
We’re the SIMPLE and SAFE way for self-funded prescription medication programs to get brand-name maintenance medications at huge SAVINGS.
Transcription:
What is CRX International?
Hi, Chris, thanks for having me. Well, we're the simple and safe way for self-funded prescription medication programs to get brand name maintenance meds at a huge savings. We currently source over 300 brand name medications, as well as some specialty. We only use government certified products from federally approved facilities, all from tier one countries. Plan savings with us on average is 70%, but on top of t...
Posted April 12, 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
02:55
Rx ‘n Go is a pharmacy linked disease management program that removes access barriers for individuals within self-funded plans, by providing free access to needed chronic disease Rx medications.
Transcription:
What is Rx 'n Go?
Rx 'n Go is a complementary mail order pharmacy program that's helped self-funded employer groups improve benefits and reduce cost. There are two programs associated with Rx 'n Go, first being our standard program, which consists of 1,300 generic maintenance medications and insulin products that are shipped from our partner pharmacy located outside of Philadelphia...
Posted February 9, 2024
02:53
Walrus is a digital pharmacy program that uses clinical pharmacists and a mobile app to help members and their prescribers optimize the long-term effectiveness and affordability of prescription drugs.
Transcription:
Walrus is a digital clinical pharmacy program that delivers pharmacist-led, member-endorsed, and physician-implemented changes to treatment that improve the effectiveness and affordability of prescription drugs. Chris, for decades, employers have invested in supply side strategies focused on medication procurement and pricing, but we've got serious problems on the demand side ...
Posted November 15, 2023
02:15
Centivo is an innovative health plan for self-funded employers founded on the belief that everyone deserves quality care at a price they can afford.
Transcription:
What is Centivo?
Centivo is a new type of self-funded health plan that reduces health spend by as much as or more than 30% for employers. We often also save employees and their families over 57% on their out-of-pocket medical expenses. We do this by organizing a PCP-centered plan around a network, using a high-value, efficient health system in local markets. These are typically clinically integrated ACOs, delivering more affor...
Posted October 20, 2023
02:36
We get members to fairer prices and better treatment and health outcomes by teaching them how to optimally navigate their existing network and formulary. Plan sponsors and members save money.
Transcription:
What is Healthcare Bluebook?
Healthcare Bluebook really pioneered transparency before it was trendy. So what we do is help employers and their members navigate within their network, their PBM, and their formulary to get to the most optimal outcomes and at the fairest price. So we look at the cost and we also look at quality through an objective lens. So when I say objective, I mean we...
Posted August 9, 2023
02:54
We are a full service Pharmacy Benefit Manager (PBM) that puts patients over profits. We guarantee a move to us will decrease your spend and increase your member satisfaction.
Transcription:
What is AffirmedRx, PBC?
Thanks for having us, Chris. AffirmedRx, PBC is our take at how we reimagine pharmacy benefit management for jumbo self-funded employers. So we've created a new pharmacy benefit manager to be a full replacement to what would be an Express Scripts, CVS, or Optum contract.
How is AffirmedRx, PBC different?
Thank you, Chris, and this is really what matters to us the most and a...
Posted August 1, 2023
02:45
Springbuk is the health data analytics solution that equips employers and benefits advisors with the deep, immediate insights they need to sharpen strategies, improve health, and contain costs.
Transcription:
What is Springbuk?
Springbuk is the health intelligence and analytics platform that's trusted by over 4,900 employers across the United States. We work with brokers and consultants as well as TPAs and we go direct to the employer to make sure that we're able to serve up the information that you are taking in as a self-funded health plan. So, we have data connections with over 400 di...
Posted May 25, 2023
02:45
Xevant is an automated data analytics & reporting platform dedicated to helping pharmacy benefit organizations lower cost & improve health. We provide real-time data analytics at the Rx claims level.
Transcription:
What is Xevant?
Xevant is an automated data analytics and reporting platform dedicated to helping pharmacy benefit organizations lower costs and improve health. The traditional way to manage benefits has been to pull data from multiple sources, analyze that data, and then generate reports on that data. Data, which is now several months old and no longer useful. Xevant ...
Posted May 22, 2023
02:52
At Amwins Health and Employee Benefits Consulting ,our focus is to deliver cost-saving strategies and solutions via PBM Audits, Medical Claims Review and Dependent eligibility audits.
Transcription:
What is Amwins Health and Employee Benefits Consulting?
Thank you, Chris. We're a healthcare consulting firm that help businesses unlock the true financial value of their employee's health benefits plan. So why does this matter? Right? Healthcare costs are rising, they continue to impact employer's financial bottom line, employers assume health payers, PBMs and administrators are providing co...
Posted May 16, 2023
02:35
Health plans as a service
Transcription:
What is Excel Health Plans?
Excel Health Plans is a managed care organization. We were established in 2021, and we bring high performing health plans to small and mid-market employers that are looking for higher quality, lower cost benefits for their employees.
How is Excel Health Plans different?
We are different in that we address three different areas of the health plan: the employer, the broker partner, and the employees that are ultimately consuming the care. The biggest driver that differentiates us in the marketplace is that we use a ...
Posted May 13, 2023
02:35
The Difference Health Plan provides mid-market employers access to multiple national networks, transparent care navigation solutions and a pass through pharmacy pricing with 100% rebate share!
Transcription:
What is The Difference Health Plan?
The Difference Health Plan is an innovative self-funded solution for small to mid-size businesses. We are bringing big company solutions into this mid-size space. We developed this product prioritizing what is most important to our clients and broker partners. What you can expect from us is access to national networks, transparent PBM solutions, an...
Posted October 25, 2022
02:38
We provide Level funding on the Cigna PPO with 100% claims surplus return and the ability to carveout PBM down to 25 enrolled employees. We also have no cap on the case size we can service.
Transcription:
What is ACS Benefit Services?
Well, Chris, we are a top-shelf, old-fashioned TPA for healthcare services. We pride ourselves on doing things the right way. We provide the Cigna PPO on a national level and we're headquartered in Winston-Salem, North Carolina.
How is ACS Benefit Services different?
Well, really, it's all about transparency and control. A few examples on our level funded...
Posted September 22, 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
02:41
TrueScripts Management Services is a pharmacist-founded, fully transparent PBM that has been revolutionizing the pharmacy benefit management industry since 2014. Our mission is to build lasting relationships by providing prescription benefit expertise at a personal and customized level to ensure optimum value at the lowest possible cost. We are committed to lowering prescription drug spend, achieving clinically effective solutions, and always delivering Amazing Care.
Transcription:
What is TrueScripts?
TrueScripts is a PBM. Although we have been revolutionizing the corrupt pharmacy benef...
Posted August 16, 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
02:25
Evolution Healthcare transitions fully insured and level funded mid market employer groups into a true, partially self-funded arrangement that looks and feels like a fully insured plan.
Transcription:
What is Evolution Healthcare?
Evolution Healthcare specializes in moving fully-insured and level-funded employers into a partially self-funded solution with an easy-to-understand bundle approach. We're built top down to look and feel fully-insured, while still offering all the benefits that come from a self-funded plan, such as improved cashflow, access to data, and ability to control plan ...
Posted August 12, 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
02:40
Fiduciary PBM 3 simple rules:
No conflicts don’t prefer any product, don’t own and product and don’t dispense any product.
Competition between pharmacies to help drive drug cost.
Consumerism gives members the tools to shop for their prescriptions.
Transcription:
What is Drexi?
So Drexi is a full-service fiduciary PBM, built from the ground up that helps companies save money on their pharmacy benefits with three simple rules. One, we've removed all conflicts of interest. We don't own any product, I don't prefer any product and I don't dispense any product. Secondly, I create competitio...
Posted August 11, 2022
02:15
Our passion is to educate payers and advisors to make informed PBM choices through unbiased data and unmatched expertise. We are self-funding gurus with a pharmacy niche that creatively eliminate prescription overspend.
Transcription:
What is Granite Peak Analytics?
Granite Peak Analytics is a full-service, PBM consulting firm. We can help with everything on your pharmacy plan, when it comes to RFP, procurement, comparisons, specialty is a big item right now. and then we also offer an ongoing claim level monitoring of your pharmacy program.
How is Granite Peak Analytics different?
We...
Posted August 9, 2022
02:36
We're the largest independent TPA headquartered in Texas with over 36 years of experience administering health plans for self-funded employer groups. We pay over $1 billion a year in claims and manage hundreds of clients from 2 to 5,000 lives.
Transcription:
What is Assured Benefits Administrators?
Assured Benefits Administrators is a TPA with over 35 years of experience in managing health plans for self-funded employers. We've got over a hundred thousand members and we are the largest independent TPA with headquarters in Texas. And we expand to not just the Texas region but across the c...
Posted August 5, 2022
