Goodroot, Inc

PBM Transition Member Service

Utilization & Reconciliation Market Checks & Renegotiations

Custom Pharmacy Benefit Contracts & Solutions

Our veteran experience combined with data driven decision making produce an average of 30% savings that can be reinvested in your business.

CHOICE

• Over 200 potential savings combinations • 9 Pre-negotiated PBM contracts, 6 specialty solutions and 3 Integrated cash solutions • Fully transparent line by line re-price analysis

LEVERAGE

• Strength and negotiating power through our large network and relationships • Access to superior pharmacy benefit contract options with solid economics, definitions and optics to mitigate pharmacy spend

SAVINGS

• Continually finding new ways to save and enhance access • Advisory services to drive down cost and continually work on our client’s behalf to mitigate Rx spend • Clinical team and robust programs increase quality of care and affect Rx trends

PBM TRANSITION

• Ensure all implementation items are completed prior to the effective date • Assist PBM and Client to map current benefit design to new benefit build out • Work with prior PBM to get all necessary transition files transmitted to new PBM

MEMBER SERVICE

• Proactively identify and address member disruption with white-glove transition plan • Proactively identify any member challenges throughout the year to ensure best in class service and support

UTILIZATION & RECONCILIATION

• Perform annual financial reconciliations to ensure all contractual guarantees are met by PBM • Provide market updates on any new programs available to help reduce cost • Provide detailed reporting on claim utilization, high cost claim reviews, and cost projections

RENEGOTIATIONS

• Execute market checks to ensure the client is receiving best is class terms and pricing • Utilize pharmacy experience as leverage in PBM renegotiations

World Class Implementation, Management and Consulting