Children’s Hospital Association's (CHA) Benefit Advisory Services supports hospital benefit professionals in navigating pharmacy benefits management (PBM) challenges through three comprehensive, full-service PBM solutions offered under the CHA ScriptSERV PBM brand. This offering combines industry-leading contract terms, expert guidance, enhanced purchasing power, and customized solutions designed specifically for children’s hospitals.
Benefits Advisory Services’ ScriptSERV is a comprehensive pharmacy benefit program that offers two traditional PBM options, along with a next-generation modular pharmacy benefit model. The ScriptSERV Modular Model enables CHA to manage individual pharmacy benefit components, ensuring enhanced flexibility, efficiency, and transparency. ScriptSERV delivers high-level pharmacy benefit services to participating hospitals and commercial clients.
Plan fiduciaries are becoming more aware of how traditional PBMs profit at the expense of their plan and members and the outsized impact that pharmacy costs are having on the total cost of care. The ScriptSERV approach ensures that each aspect of delivering pharmacy benefits can be optimized and adapted according to the latest advancements and needs, without the disruption that typically accompanies switching vendors. The contract functions offer the full suite of PBM options, including, but not limited to:
Plan fiduciaries are becoming more aware of how traditional PBMs profit at the expense of their plan and members and the outsized impact that pharmacy costs are having on the total cost of care. The ScriptSERV approach ensures that each aspect of delivering pharmacy benefits can be optimized and adapted according to the latest advancements and needs, without the disruption that typically accompanies switching vendors. The contract functions offers the full suite of PBM options, including, but not limited to:
- Claims processing and pharmacy program administration.
- Retail network management.
- Mail order fulfillment.
- Specialty pharmacy services.
- Member services and call center.
- Account management and issue resolution.
- Data management and reporting.
- Rebate aggregation.
The advantages of the CHA ScriptSERV model:
- Optimize care delivery. Leverage the expertise of specialized providers to enhance the quality and efficiency of pharmacy and administrative services.
- Increase transparency. Implement independent contracting and data management to ensure accuracy, transparency, and accountability across all services.
- Drive innovation. Foster a flexible environment that supports continuous improvement and the integration of innovative solutions.
| Count of Hospital Entities | Eligible Members | Utilizers | Total Spend | Specialty Spend | Annual Claims |
|---|---|---|---|---|---|
| 16 | 206,000 | 166,000 | $573M | $609M | 1.99M |
