HDS is a pharmacy benefit analytics company

identifies substantial savings in pharmacy expenditures for its clients:

• State government • Medicaid & Medicare health plans that manage pharmacy risk • Self-insured employers

HDS uses its proprietary software to analyze both medical and prescription claims data to provide actionable information with transparency in both medical management and provider network performance

HDS does this by analyzing the prescription and medical claims data to identify savings through medical management and prescriber network performance. HDS analytics include the following areas:

CONTRACT ADHERENCE AND CONTRACT REVIEW

Ensures payment is the correct contracted amount

THERAPEUTIC EQUIVALENCE

Identifies opportunities for drug substitutions without reducing drug therapy efficacy

PRICE BENCHMARKING

Ensures the price paid is a market competitive price

PRICING VARIANCE ANALYSIS

Identifies pricing variance from pharmacy providers, both retail and mail order

PRESCRIBER AND PATIENT DETAILING

Provides educational material to be used in educational detailing for both the prescriber and patient

THERAPY COMPLIANCE

Compares medication purchases against expected dosing regimens

FRAUD, ABUSE AND WASTE

PDL OR FORMULARY EFFICIENCY ANALYSIS

SPECIALTY MEDICATION ANALYSIS

HDS uses a dashboard-scorecard system to transform claims and medical data into customized, actionable information

A Fortune 300 client that manages Medicaid and Medicare health plans, recently saved millions of dollars due to HDS’s analysis and discovery of the slow adaptation of price reductions by their PBM for new generic medications.

HDS HAS IDENTIFIED

millions of dollars of savings

IN PRESCRIPTION BENEFIT COSTS FOR MEDICAID MANAGED CARE ORGANIZATIONS, STATE AGENCIES AND SELF-INSURED EMPLOYERS.

Typical savings identified are between 15-30%.

15-30% Savings

WORDS FROM CLIENTS

“I strongly recommend your program be considered for application in the larger prescription benefit programs operated by the State of Ohio. It will undoubtedly uncover several million dollars of incorrect pricing. If the software were made available to all agencies within the state, I would certainly utilize it to monitor prescription costs at the bureau.”

Johnnie L. Hanna, R.Ph, Pharmacy Program Director Ohio Bureau of Workers’ Compensation

Ask us for an Initial Client Analysis Report to identify savings opportunities.

Contact Us

We're not around right now. But you can send us an email and we'll get back to you, asap.