Let SmartLight lead your team through the entire PBM RFP process from start to finish.
SmartLight Analytics’ PBM RFP solution helps self-funded employers navigate new PBM selection, contract renewals, market checks or performance evaluations.
As a trusted, independent partner, SmartLight ensures unbiased scrutiny of PBMs, helping employers secure the best terms for their healthcare benefits plan and members. SmartLight Analytics brings deep expertise in PBM industry practices, pricing evaluation, conflict-of-interest reviews and pharmacy data analytics.
Employers can no longer afford to take a passive approach to their pharmacy benefits. Recent legal challenges have underscored the financial and legal risks of partnering with traditional PBMs without proper oversight. Allegations of artificially inflated drug prices, rising insurance premiums and increased out-of-pocket costs for employees have put a spotlight on employer responsibility in PBM contracting. Ensuring that your PBM operates with fair, transparent and conflict-free terms is not just a best practice — it’s a fiduciary obligation.
WHY USE A THIRD PARTY SERVICE?
Choosing the right PBM is a critical decision for self-funded employers. Pharmacy benefits are one of the largest healthcare expenses, yet PBM contracts remain complex and opaque, and often designed to benefit the PBM more than the plan sponsor and its employees.
SmartLight Analytics provides self-funded employers with independent, expert guidance in selecting and negotiating PBM contracts that align with financial and compliance goals. Our PBM RFP service supports employers through every stage of the process, whether selecting a new PBM, renegotiating an existing contract or evaluating current PBM performance.
WHAT MAKES OUR SOLUTION UNIQUE?
Our pharmacy benefit and healthcare claims experts bring deep industry knowledge and advanced analytics to scrutinize PBM agreements, ensuring employers secure the most cost-effective, transparent and fiduciary based contracts. We also engage with ERISA legal consultants throughout the process to ensure compliance.
WHY IS SMARTLIGHT THE RIGHT FIT?
Our mission is to identify and reduce wasteful healthcare spending, including excessive pharmacy costs. Every employer and member population is unique and there is no one-size-fits-all PBM contract. Having a truly independent partner who prioritizes your best interests can make all the difference in securing the right PBM relationship.
Contact our team today to schedule a consultation and discover how SmartLight Analytics can help you navigate the PBM RFP process with confidence and transparency.