PayerAlly's mission is to deliver tailored pharmacy consulting solutions covering the areas of vendor management, contracting, and oversight. We provide superior decision-making support, insightful and actionable modeling and analytics, clinical oversight, and pharmacy strategy.
Key Partnership Advantages
INSTITUTIONAL KNOWLEDGE
PayerAlly provides access to subject matter experts covering the entire continuum of PBM services, including clinical, PBM underwriting, PBM auditing, pharmacy network and MAC development and management, drug manufacturer rebate contracting, value and outcomes-based contracting, specialty pharmacy management, and medical medication management, and gene therapy risk and cost advisement. We have the hands-on institutional knowledge needed to help your organization manage medication costs, improve vendor performance, and benefit from innovation.
BOUTIQUE FIRM
PayerAlly is a boutique pharmacy consulting firm designed to support the unique business objectives of health plans, health systems, employer groups, state and local governments, and labor unions around the nation. We provide a higher level of sophistication, expertise, and service to help these different entities manage the medication costs of their unique populations. We strive to be pharmacy experts, not generalists like many competitors.
ADVOCACY
Above all things, PayerAlly is an advocate for our clients and the broader healthcare industry. Clients should expect us to help them better understand the business aspects of the PBM and Specialty pharmacy industry, provide superior advisement related to the management of high-cost medications, and to support innovation in the areas of reimbursement, pricing, and technology.
PROACTIVE ADVISEMENT
PayerAlly proactively works with our clients to ensure that they receive meaningful value. Our service model grants clients access to various industry thought leaders, insightful webinars, white papers, and a best-in-class project management approach to ensure our firm delivers industry-leading results.
INDEPENDENCE
PayerAlly offers independent advice to help our clients better manage prescription costs. We do not offer a pharmacy reseller/ coalition product that could result in our firm competing with our clients for new business or cloud our evaluation of various PBM financial offers based on our need to drive coalition growth. We focus only on improving the economic cost of goods for our clients.
OUR GOALS
Managing the pharmacy
Managing the pharmacy benefit is not simply an annual activity centered around a renewal; it’s a year-round, ongoing effort whereby every action lends itself to in-year cost savings and improvements in patient outcomes, as well as improved rate negotiations at the appropriate time. Our goal is to provide our clients with a partner that will solve problems, provide actionable information, and improve the financial and clinical oversight to drive industry-leading vendor performance.
Communication
Our team will constantly communicate new concepts and innovations in managing high-cost medications. We provide our clients with both short and long-term action plans covering the areas of PBM vendor management, PBM audit, fraud, waste, abuse, and clinical pharmacy.
challenge current thinking
Strategic Business Partner
The goal of our firm is to become an extension of your team, working to help them achieve all their goals and objectives while acting as a strategic business partner. PayerAlly is committed to bringing about a fundamental change in the marketplace by helping our clients establish better vendor relationships that will push their vendor's partners to perform at a higher level and innovate to lower the cost of prescription medications, improve the member experience, and adopt business practices that serve the needs of our clients and the greater good of the pharmacy benefits industry.
We partner with clients to develop customized work plans that provide comprehensive support to better manage their pharmacy programs.
Our Skills & Expertise
Understanding PBM underwriting intricacies, clinical pharmacy, and PBM internal operations is crucial for payers looking to manage their pharmacy costs and obtain the best possible clinical and financial outcomes. At PayerAlly, our team has years of experience understanding the complexities of the PBM industry and the opaque pricing and contracting tactics that often benefit the PBM vendor at their client's expense, drive up costs, and negatively impact the patient's experience.