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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.
Achieve significant cost savings and enhanced service quality through expertly negotiated terms that prioritize long-term value.
The Hall Benefits Law team work relentlessly for your corporate and your employee best interests.
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.
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.
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.
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.
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.
We are here to help and available to schedule a free consultation to understand your PBM Negotiation needs.