Employer Clinic, Employer Health Benefits

RxStewardship: A is for Analytics

Week 7 – R X S T E W A R D S H I P

Moving Toward STRATEGIC RX STEWARDSHIP

A is for Analytics

“Things get done only if the data we gather can inform and inspire those in a position to make [a] difference.” – Mike Schmoker

If you are a self-funded employer, a benefits advisor, or a provider of employer-based healthcare – you are in a position to make a difference. You have the ability to make healthcare more accessible, more affordable, more efficient and easier to navigate. Your ability to influence change confers upon you a great responsibility. A responsibility to be a good steward of your resources, to be bold, to seek out solutions to complex problems, and to advocate for those you serve or represent. At Northwind, we are privileged to work with individuals and groups who actively engage in this pursuit and we salute your efforts. However, we believe there is more to be done!

Strategic Rx Stewardship Framework

Throughout the duration of this blog series, we have made multiple references to our Framework for Strategic Rx Stewardship and its core elements – Insight, Influence and Impact. This week’s blog focuses on Insight, particularly our work with Advanced Analytics and Actionable Insights.

The objective is to convert data into information that will drive the ability to influence wellness behavior through programs and services with the ultimate goal to have a positive impact on overall health outcomes.  In fact, we are so committed to this effort that we have made our analytics services cost-free and commitment-free!

ADVANCED ANALYTICS

Leveraging robust data mining capability and expert guidance, Northwind Advanced Analytics utilizes your pharmacy claims file as the basis for providing visibility and understanding of opportunities for increasing the value of your pharmacy investment.

We help you uncover opportunities for savings on direct costs, enhanced rebate procurement, and implementation of clinical programs. Projections for on-site dispensing optimization and/or home delivery are included with the analysis, as is a review of specialty medications – the fastest area of growth within pharmacy spending.  Each report provides practical, actionable recommendations for your consideration. With our Lean Six Sigma expertise we can even help you design a road map for implementing and then monitoring the progress of the programs you choose to embark upon.

ADVANCED INSIGHTS

Our Advanced Insights program offers an ongoing review of your pharmacy benefit program. Dashboards are available allowing you to track a variety of metrics to help improve the overall efficiency of your program. Information is provided about hidden trends within segments of your membership. As an example, gaps in preventive care, populations at-risk for poor outcomes, and members likely to be non-compliant with their medications can all be identified so that strategies can be implemented to obtain the best results possible. Should an employer provide access to an employer health center for their membership, our Advanced Insights program is intended to work in collaboration with the medical team to enable the health center to be a true nexus of care for your organization.

Do you want to make a difference but aren’t sure where to start? Do feel like you don’t have the data you need to make an informed decision about next steps? Are you looking for a collaborative partner in your quest to implement and monitor patient care programs? If so, let’s have a conversation and get things done together!

Schedule a free claims analysis now.

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TONY PURKEY JOINS NORTHWIND AS SENIOR VICE PRESIDENT, CLIENT STRATEGIES

Betsy Bigler | Mar 7th, 2024
INDIANAPOLIS, March 7, 2024 – Northwind has announced the addition of Tony Purkey as Senior Vice President, Client Strategies. “Demand from our self-funded employer and union clients is driving rapid growth,” said Phillip Berry, CEO. “Tony Purkey joins Northwind at a time when we need high-integrity leaders with expert knowledge in employer-sponsored health and the … more »

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Voices Lost in the Noise

Phillip Berry | Jan 31st, 2024
In the health benefits world, the mad scramble toward January renewals/starts has subsided and attention has turned to the annual cycle of review necessary to gauge progress. How did we do? The plan review process generally centers on analytics to gauge progress or regress and to identify “areas of opportunity.” Good. The right data with … more »

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