Pharmacy Benefit Management

Navigating pharmacy benefits is complex. Hospital benefit professionals can overcome the challenges with the support of industry experts, combined negotiating strength and the partnership of an organization specializing in customized solutions for children’s hospitals. 

As the world’s largest coalition of children’s hospitals, CHA helps participants realize the full value of the collaborative. The comprehensive PBM services guides an organization’s health care plan through customized support and attention to accommodate members’ needs. 

Here are a few ways CHA's PBM delivers valuable assistance: 

PBM Program Analysis

Pharmacy coalition

  • Implementation assistance
  • Vendor management
  • Issue resolution
  • Annual CHA forum meeting
PBM Program Analysis

Program analysis

  • Clinical management
  • Industry updates
  • Comprehensive reporting and performance benchmarking
  • Frequent market checks
PBM Program Analysis

Contract negotiation

  • Multiple PBM options with pricing flexibility
  • Financial and contract compliance auditing
  • Guarantee reconciliation and reporting
PBM Program Analysis

Collective consulting

  • $57 million total aggregate projected savings for 2018-2020
  • $25,000 implementation audit credit for new CHA participating hospitals
  • “At-will” termination option
  • $100,000 +/- PBM communication support

PBM Questions

Testimonial

“We enjoy working with CHA as our organization's lead pharmacy program advisor. They work well with our local consultant to provide data analytics from the pharmacy program. The CHART data is also useful for our strategic planning.  When we're meeting with our local consultant on full program strategies the CHA detail is included.”