N.Y. firm awarded Pittsburgh contract
Pittsburgh Business Times
Arxcel Inc., an Amherst, N.Y.-based prescription benefit management consultant, has been awarded a three-year contract to conduct an audit of the Pittsburgh Business Group on Health's prescription drug program.
PBGH is a non-profit organization and business-only coalition representing 66 organizations, more than 1 million employees, dependents and retirees, and more than $3 billion in health care expenditures.
Arxcel will perform an audit reviewing 8.4 million prescription drug claims to ensure proper compliance with contract pricing, application of co-payments and eligibility, as well as inclusion and exclusion of covered items.
Additionally, Arxcel will provide an overview of the program's financial performance, an evaluation of the current PBM agreement and business practices, and a clinical overview of the health of members in high-cost therapeutic categories.
Arxcel audits have identified substantial savings for plan sponsors through thorough review of PBM contract compliance and drug utilization, said Chris Robbins, Arxcel president.
