TRICAST assists and carries the primary responsibility for all phases of the PBM selection process from preparation of the initial RFP to managing and contracting with the PBM.
Armed with industry benchmarks plus our risk and underwriting experience for a variety of insurance carriers, TRICAST manages a precise, risk modeled RFP process that leads to accurate contracting and low net cost with the chosen PBM.
Using your plan specific data, we require all potential vendors re-adjudicate your historical claims according to their proposed contract terms and programs. We then conduct an actuarial analysis, determine the potential ROI, and require that the contract match the marketing proposal and claims re-adjudication.
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