2016-17 PMPM (open):
PUBLIC SCHOOL FOCUS: Self-funded public sector pharmacy benefits consortium run by Capital Region BOCES. Capital Region BOCES began offering this savings program to schools, school health-plan trusts, other BOCES and municipalities in 2012.
LEVERAGE: Participating NY schools and trusts have
had a 15%- 20% reduction on pharmacy claims costs compared
to prior PBM contracts. PBM contract pricing is reviewed
annually. Strict PBM contract confidentiality protects
AUTONOMY: This is
not a trust. You maintain your governance structure, benefit
designs, bargaining process, funding mechanisms.
PBM does not pay us commissions. No broker ‘per claim’ fees
are hidden in your pharmacy claims. Clean, audit-supported
PBM contracting with the vendor.
VOLUME LEVERAGE: Discounted drug costs, 100% claims audits, deep manufacturer rebates and monitored performance guarantees based on 430,000 lives nationally.
PHARMACY FOCUSED EXPERTISE:
Program consultants that solely focus on pharmacy trends, programs and services, including national health plans.
Through our BOCES CoSer, the NY MPPC enables you to maintain your current pharmacy plan,
governance and autonomy, while leveraging the large-scale group
purchasing discounts and clean contracting that currently benefit
430,000 public sector lives nationally.
BOCES staff will manage and coordinate the following activities for its self-funded, New York Municipal Purchasing Coalition program districts, trusts, other BOCES and municipalities;
Interface with eligibility vendors, PBMs, brokers and other third party entities, as approved by the plan sponsor (implementation and ongoing);
Act in an account service capacity during implementation of the program and benefit changes, either directly or with your broker of record (BOR);
Organize and provide periodic educational seminars about pharmacy industry trends, Federal compliance, pharmacy products, cost containment and Medicare options;
Share NY MPPC, KPPC and ESI industry benchmark and performance information through annual reporting;
Coordinate and review standard vendor information reports, either directly or with broker of record;
Provide and coordinate pharmacy plan subject matter expertise as requested at scheduled trust and board meetings.
Currently, more than
36,000 lives are part of the NY MPPC,
including several large BOCES health plan trust. Pharmacy can
be carved out and self-funded despite your current
medical/pharmacy status. Contact us for a no-cost, no-obligation
pricing comparison to see what you "could have saved" through