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Tailored Solutions for PBM Negotiations

Our services are designed to ensure your PBM provides fairness and transparency in respect of the law.
We mitigate fiduciary risk at the same time, creating a win-win for your legal and benefits teams.

We scrutinize current PBM agreements to identify opportunities for improved terms and cost efficiencies.

Our team ensures your PBM agreements adhere to the latest CAA and NSA provisions, promoting transparency and accountability.

We negotiate directly with PBMs to secure favorable terms that align with fiduciary duties and maximize plan value.

Ongoing evaluation of PBM performance to ensure compliance and the continuous optimization of plan sponsor interests.

Ensuring compliance, reducing liabilities, and securing long-term plan sponsor confidence while protecting your organization and upholding fiduciary duties.

Achieve significant cost savings and enhanced service quality through expertly negotiated terms that prioritize long-term value.

Client Experiences

The Impact of Our PBM Negotiations

The Hall Benefits Law team work relentlessly for your corporate and your employee best interests.

Hall Benefits Law transformed our TPA agreements, saving us significant costs and ensuring compliance with the latest legislative standards. Their expertise is unmatched.
Alex M.
HR Director
Fortune 500 Company
The team’s thorough approach and deep knowledge of the CAA and NSA gave us confidence during complex renegotiations. We highly recommend their services.
Business woman, portrait and happy with success and professional headshot, corporate goals with vis
Kimberly S.
Plan Administrator
Hall Benefits Law was instrumental in renegotiating our TPA agreements to comply with CAA requirements, resulting in significant cost savings for our organization. Their in-depth knowledge of health plan regulations and commitment to transparent, effective negotiations set them apart as true experts in the field.
Mark L.
Benefits Manager Large Corporation

Our Process Is Proven

Our Approach to PBM Negotiations

01

Initial Consultation

In-depth Understanding of Plan Sponsor Needs
We begin by meeting with plan sponsors to understand their specific goals and challenges related to PBM agreements. This consultation sets the foundation for a comprehensive review of current contracts and objectives, ensuring that our team is aligned with your strategic priorities.

02

Comprehensive Contract Review

Detailed Analysis of Current PBM Contracts
Our team meticulously examines existing PBM contracts to identify any clauses that may not comply with CAA and NSA provisions. We focus on pinpointing areas where changes can be made to enhance transparency, align with fiduciary standards, and generate cost savings or credits for the plan sponsor.

03

Legal Strategy Development

Applying Legislative Insights to Plan Sponsor Advantage
Leveraging our in-depth understanding of the CAA and NSA, we develop a tailored legal strategy aimed at maximizing benefits for the plan sponsor. This involves crafting targeted amendments and negotiation points that ensure your contracts are not only compliant but also advantageous in terms of cost and service value.

04

Negotiation & Representation

Advocating for Optimal PBM Terms
Our team leads the negotiation process with PBMs, advocating for revised terms that favor the plan sponsor. We apply our comprehensive knowledge of current legislative mandates to push for credits, improved transparency, and better terms, securing millions of dollars in potential savings for our clients. We also provide continuous representation to address any questions or challenges that arise during or after the negotiation process.

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Track Record of Success

Driving Impact Through Expert Negotiations

At PBM Negotiator, our work has led to significant financial gains for plan sponsors through strategic PBM negotiations. Our clients have saved millions by realigning their PBM contracts with legislative expectations and organizational goals.

Contact Us

Ask Questions or Schedule a Consultation

We are here to help and available to schedule a free consultation to understand your PBM Negotiation needs.

Call Us : 1 (470) 571-1007
We are open from Monday to Friday
9.00 AM - 5.00 PM
339 Johnson Ferry Rd NE
Atlanta, GA 30328
USA
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