Who needs a crystal ball when you have Clinical Account Managers? WellDyne clients forge a clear path to the future by collaborating with Clinical Account Managers, pharmacists who clearly understand the client’s present state and goals for the road ahead. With experience in number crunching and analytics, the Client Services team can model the impact of potential changes clients may want to consider, as well as provide day-to-day guidance around member topics and other concerns.
“We recognize that every client is unique,” says Chris Williams, PharmD, MBA. “We dig into client data and parse it out for a broad picture, recognizing deviations from the norm and other circumstances that help us evaluate trend and outliers. For one client whose pharmacy trend was increasing, we explained that it was the result of just one member, a 5-year-old with cystic fibrosis who relied on a $25,000-a-month drug. The plan administrator understood that this was a lifesaving situation with no modification needed to the benefit plan.”
Billy Schnell, PharmD, BCACP points out that, “Curiosity is a big part of our role. We have many reporting tools available that help us with out-of-the-box thinking.” In one case, an issue came to light regarding improper utilization of a weight loss drug covered by the plan. As a result, prior authorization became more strict. Coupon dollars from the drug’s manufacturer and a savings program were added, and savings of $1 million were achieved in the first year. “Drilling into financials, utilization, drug channels and other categories, we help clients understand what the analytics are telling them – and what they can do about it,” Billy explains.
Solving today’s issues, planning for the future and bridging the gap between the business and the benefit plan are all in a day’s work for WellDyne Clinical Account Managers, who use their expertise to help clients understand their population’s demographics and fine-tune their plan offerings.