Case Studies
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Logistics Provider

Transportation

Challenge:

A fully-insured logistics provider had no control over spending or provider contracts. They also had no ability to impact their plan other than reducing benefits.

Solution:

This logistics provider was moved to partial self-funding with a TPA and PPO network, and implemented parts of VeracityRx’s pharmacy program in the first year with a specialty program in the second year.

Results:

As a result, the logistics provider saw:

• No rate increases for 3 years
• $1M surplus on their claims account
• Pharmacy costs dropped from $166 PMPM to $68 PMPM

Furniture Manufacturer

Manufacturing

Challenge:

A furniture manufacturer was with a TPA and facing two lasers in the amounts of $340,000 and $180,000 based on high-cost specialty drugs.

Solution:

This manufacturer decided to stay with their TPA, however, carved out their pharmacy to VeracityRx and implemented the full program, including specialty care management.

Results:

The manufacturer was able to get their specialty drugs covered at no cost to the employer, resulting in a $520,000 savings to the company’s bottom-line within one year.

Municipality

Government

Challenge:

A municipality was struggling to control physician costs, particularly specialty care referrals, for an indigent population.

Solution:

A program was established requiring the implementation of on-site clinics for primary care and care management.

Results:

Within one year, this municipality was able to:

• Save their budget
• Reduce the millage rate by 14%

International Pharmacy

Challenge:

A member required 3 types of brand-name drugs needed to treat Type II Diabetes and blood clots. Due to the high U.S. retail price of brand-name drugs, the employer’s estimated annual cost was supposed to be $22,200.

Solution:

VeracityRx’s Pharmacist Concierge Service who works as the patient’s advocate was able to acquire the brand-name drugs internationally at half the cost. This resulted in a total savings of $11,100 annually for the employer and $0 cost for the member.

Results:

As a result, the member:

• Was treated for Type II Diabetes, Blood Clots
• Annual cost to member: $0

As a result, the employer:

• Received 50% savings
• Cost to employer: $11,100 vs $22,200

Member

Challenge:

Due to the tier level of the specialty drug, the member’s estimated monthly cost was supposed to be $41,000.

Solution:

VeracityRx’s Pharmacist Concierge Service who works as the patient’s advocate was able to acquire the specialty drug for one year at no cost. This resulted in a total savings of $492,000 annually.

Results:

As a result, the member:

• Was treated for the condition
• Cost to the employer and/or member: $0
• $492,000 saved