AI-Native PBM Contract Intelligence
Know Which Terms Are Driving Your Spend
Connect your PBM contract to actual pharmacy claims.
Prioritize negotiations by their financial impact on your plan.
FOR SELF-FUNDED EMPLOYERS AND PUBLIC SECTOR PLAN SPONSORS
Your Claims Reveal What The Headline Rates Miss
A contract can look competitive while producing expensive outcomes. Definitions, exclusions and pricing rules affect each plan differently because utilization and drug mix vary. PBM Signal shows how those terms affect your own population and pharmacy spend.
FROM CONTRACT COMPLEXITY TO NEGOTIATION PRIORITIES
Find
Quantify
Quantify
Identify contract language that shapes pricing, guarantees, exclusions, and sourcing.
Quantify
Quantify
Quantify
Match those terms to actual claims to estimate the spend affected.
Negotiate
Prioritize
Prioritize
Develop targeted objectives and suggested contract language for your team and advisors.
Clear Agenda For Your NExt Conversation
Financial Opportunity Map
Financial Opportunity Map
Financial Opportunity Map
Estimated spend tied to specific contract mechanisms, with the largest opportunities first.
Contract Gap Analysis
Financial Opportunity Map
Financial Opportunity Map
Plain-English explanation of terms and definitions that create financial exposure.
Negotiation Playbook
Financial Opportunity Map
Negotiation Playbook
Priority issues, suggested protections, audit rights and recovery concepts.
Start With a PBM Contract Diagnostic
Bring one PBM contract and a representative claims period. Receive prioritized opportunities, quantified exposure and negotiation targets for your next renewal, RFP or renegotiation.
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