PHSL Evaluates Pharmacy Operations and Network Contracting Strategy
Industry
Mail Order Pharmacy
Problem
A mail order pharmacy reached out to PHSL for assistance in evaluating their pharmacy operations and providing guidance on the pharmacy’s payer and network contracting strategies. The pharmacy has multiple lines of business including commercial contracts with key PBMs and PSAOs. The pharmacy requested PHSL’s assistance to assess the data management, financial reconciliation processes, and organizational structure to improve dollar retention and allow for proper management controls, thereby facilitating organizational growth.
PHSL Solutions
PHSL held a two-day onsite meeting to review the pharmacy operations, tour the facilities, and meet with key management personnel. A series of follow-up calls were used to further discuss the suspected issues identified with key subject matter experts at the pharmacy. Weekly update calls were held with the client to keep the project on schedule and discuss findings uncovered in the previous week.
Results
PHSL used a PAR (problem-action-recommendation) approach to present the issues to the pharmacy management team. PHSL rank ordered the identified issues based on those that would provide the biggest impact on operational efficiencies and result in positive financial gains for the pharmacy. Based on the collaborative nature of the project and management’s participation in the calls, the final report provided c-suite leaders with an overview of the findings without any surprises. The pharmacy reported a high level of satisfaction with the project report and could then take actionable steps to implement changes.