MedImpact, the nation’s largest independent pharmacy benefit and health solutions company, has introduced Claria™. The new approach aims to reshape how organizations manage pharmacy benefits and healthcare spending. Claria gives plan sponsors greater transparency and control over pharmacy costs. It also provides more predictability when organizations manage pharmacy spend. MedImpact designed the approach for today’s changing healthcare environment.
The company positions Claria as an industry-first approach to pharmacy benefit delivery. In addition, the model brings greater flexibility to organizations managing prescription drug benefits.
“Claria provides a new way of delivering pharmacy benefits to our clients. It brings together the scale of MedImpact’s organization to deliver competitive economics with the flexibility for clients to choose the model that meets their needs. Most importantly, Claria is designed to align our compensation with our clients’ goals of managing pharmacy spend, controlling trend, and improving access to care,” said MedImpact Executive Vice President Zach Johnson. “Plan sponsors gain visibility into the true net cost of medications, greater control over clinical strategies, and enhanced budget predictability.”
Claria Offers Flexible Pharmacy Benefit Models
MedImpact designed Claria around greater financial predictability. At the same time, the approach gives organizations flexibility in managing their pharmacy strategies. The company believes payers should not choose between rebates, flexibility, and financial certainty. Therefore, Claria provides four configurable models with transparent pricing.
Claria Direct is for organizations looking to take greater control of their pharmacy strategy. The model lets clients customize formularies, networks and dispensing channels. It also allows customization of value added services. Claria Assure provides plan sponsors with up-to-date pricing strategies. Program features can be tailored by organizations to meet their own needs. Simultaneously, the model gives financial confidence via the guaranties.
Claria One combines a PMPM guarantee with a specific formulary strategy. The strategy focuses on lower-cost therapeutic options. As a result, it supports organizations seeking stronger financial accountability and cost management. Claria Align guarantees a plan’s PMPM spend dollar for dollar. Therefore, the model provides the highest accountability within the portfolio. MedImpact designed it to support lower pharmacy costs.
Together, these four models give organizations different ways to approach pharmacy benefit management. Each option addresses specific financial and strategic requirements.
Claria Enhances Transparency and User Control of Plans
Claria also is about making informed decisions. Rebate transparency at the claim level gives you a peek at the net cost of each drug. This enables plan sponsors to make better informed financial and clinical decisions. The approach also provides plans with more control over pharmacy strategy. The organizations can have the strategies that are reflective of their own needs.
These strategies include formulary management and utilization management. They also include biosimilar strategies and pharmacy network strategies. Furthermore, Claria changes how PBM compensation aligns with client objectives. The model connects compensation with services and solutions instead of drug mix. This structure creates a stronger focus on pharmacy cost management. It also supports continued attention to pharmacy trend and healthcare outcomes.
MedImpact says this approach can strengthen the relationship between plan sponsors and their pharmacy benefits partner. At the same time, it gives organizations more flexibility when managing pharmacy strategies.
Claria Focuses on Member Affordability
Member affordability remains another important element of the Claria approach. MedImpact recognizes that clients prioritize affordable pharmacy benefits for their members. Claria will help MedImpact establish a foundation for pharmacy plans focused on lower-cost medications. The approach also supports therapeutically appropriate medication choices.
This focus can help organizations balance pharmacy costs with member access. It also gives plan sponsors additional flexibility when designing pharmacy benefit strategies.
“MedImpact has been an independent company for nearly 40 years, and we have been committed to delivering clarity and control to our clients since our inception,” said Johnson. “With Claria, we are taking that commitment to an entirely new level and providing clients with even greater flexibility and freedom to navigate today’s healthcare landscape.”
With Claria, MedImpact is expanding its approach to pharmacy benefit management. The company is combining transparent pricing with configurable models and greater plan control. As healthcare organizations continue to manage rising pharmacy expenses, Claria addresses several key areas. These include financial predictability, drug cost visibility, clinical strategy, and member affordability.
The launch also reflects MedImpact’s focus on giving plan sponsors more control. At the same time, the company aims to align pharmacy benefit management with client goals. Through Claria, MedImpact is offering organizations new ways to manage pharmacy benefits. The approach brings together transparency, flexibility, and accountability within one pharmacy benefits framework.
Explore Health Tech Insiders for the latest medical innovations and reliable strategic insights driving the future of technology-driven healthcare transformation.
News Source: Businesswire.com
