Children’s Hospital Association (CHA) Benefit Advisory Services helps hospital benefit professionals overcome challenges within pharmacy benefits management (PBM) offerings with a dual full service PBM option that utilizes leading contract terms with the support of industry experts, greater buying power, and customized solutions for children’s hospitals.
Benefits Advisory Services’ SciptSERV®, is a pharmacy benefit program that offers traditional PBM options along with a robust RX third party administrator (TPA) initiative that utilizes a disaggregated pharmacy benefit model, enabling CHA to seamlessly control the various pharmacy benefit components, ensuring flexibility, efficiency, and transparency. ScriptSERV provides the highest levels of pharmacy benefits services to participating hospitals and commercial clients.
Plan fiduciaries are becoming more aware of how traditional PBMs profit at the expense of their plan and members and the outsized impact that pharmacy costs are having on the total cost of care. The ScriptSERV approach ensures that each aspect of delivering pharmacy benefits can be optimized and adapted according to the latest advancements and needs, without the disruption that typically accompanies switching vendors. The contract functions offers the full suite of PBM options, including, but not limited to:
- Claims processing and pharmacy program administration.
- Retail network management.
- Mail order fulfillment.
- Specialty pharmacy services.
- Member services and call center.
- Account management and issue resolution.
- Data management and reporting.
- Rebate aggregation.
The advantages of the CHA ScriptSERV model:
- Optimize care delivery. Leverage the expertise of specialized providers to enhance the quality and efficiency of pharmacy and administrative services.
- Increase transparency. Implement independent contracting and data management to ensure accuracy, transparency, and accountability across all services.
- Drive innovation. Foster a flexible environment that supports continuous improvement and the integration of innovative solutions.
| Count of Hospital Entities | Eligible Members | Utilizers | Total Spend | Specialty Spend | Annual Claims |
|---|---|---|---|---|---|
| 22 | 240,000 | 203,000 | $573M | $280M | 2.2M |
