Self-insured/Employer Group Solutions

MedImpact's strategies work together to improve patient adherence and increase your return on your drug benefit investment. Our approach means we focus on managing your drug spend to the lowest net cost.

Our solutions focus on engaging and educating your members with population-level management of complex, high-cost chronic diseases.

Flexible Plan Design

Our flexible approach to drug benefit plan design ensures you incent physicians, pharmacists and patients to use the lowest net cost drug. Our clinical analytics team will model your current utilization data to recommend the formulary, benefit edits and cost sharing structure that aligns with your clinical and economic objectives.

Supporting In-house Fulfillment

MedImpact is proficient in servicing hospital-based employer groups, which is demonstrated in the broad spectrum of custom programs we offer. We realize that no two hospitals are identical, but many have similar challenges in managing the complexities of their drug benefits. Our solutions enhance the utilization of in-house fulfillment with a pass through of pharmacy contracted rates or promotion of own-use pricing. Our goal is to keep dollars in your hospital.

Member Engagement and Education

MedImpact offers each client a customizable, online member portal with patient-specific data, including cost sharing amounts, formulary list and a pharmacy locator. This real-time data may be supplemented by an online patient care management system, which interfaces with healthcare providers, case managers and personal health coaches.

Management Reporting and Decision Making

We offer a comprehensive approach to management reporting and decision-making support. Our tools encompass:

  • Self-service management reporting (MedOptimize®)
  • Prior authorization utilization value reports
  • Quarterly comprehensive graphical reporting (MedFocus®)
  • Accounting and financial reporting delivered by a web-based system (MedImpact Online Reporting)