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Results

- Assisted start-up Medicare-Advantage HMO with PBM selection resulting in reducing PBM administrative costs by 70% while doubling manufacturer rebates (2009)!
- Completed 24-month transition project in just 18 months - 20% under budget (2006-2008).
- Medicare Quality Improvement Project involving several MA-PDs, PDPs, State Medical Society, State Pharmacy Association, Medical Schools, Pharmacy Schools, QIOs, State Board of Pharmacy was ranked best in nation by CMS (2006-2007).
- PBM switch saved millions of dollars per year. No problems for members getting their medications.
- Broad-band and member-specific interventions tripled generic utilization of targeted drugs in selected therapeutic classes in just the first 90 days with over-all genric utilization rates continuing to rise even today (2006-2008).
- Merger and Acquisition of national and state-wide health plans resulted in no disruption of care to members at pharmacies (2006).
- Ten years of Medicare Pharmacy Audits. Zero deficiencies. No Corrective Action Plans ever required.
- Supervised several clinical pharmacists overseeing state regulations involving pharmacy care of nursing home residents in dozens of LTC facilities. No deficiencies. No Correction Action Plan needed.
- Pharmacy costs were always consistently lower in State Employee Group Benefits program than other options.
- CAHPS member satisfaction in Top 10% nationally (2006-2008).
- CAHPS pharmacy scores always higher than rest of plans in service area. (2006-2008).
- CAHPS pharmacy scores consistently higher than both regional and national averages (2006-2008).
Unlike the stock market, our results are based on past performance and ARE an indication of future performance.
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