Who We Are
Confidio is a technology-enabled pharmacy benefits consulting firm. We optimize the value of your pharmacy benefits through transparency, accountability and advanced data analytics paired with deep insider expertise. We help you minimize drug spend while maximizing patient outcomes and satisfaction. Our reliable solutions are performance-based, results-driven and continuously validated.
Our approach is simple and powerful
- Understand where you are spending more but not getting more.
- Minimize member disruption as you eliminate needless waste.
- Build a strategic plan that targets the lowest hanging opportunities first.
- Deliver quantifiable results by leveraging our insider expertise, data-driven insights and technology.
Solutions & Services
We offer a full suite of pharmacy audit, procurement, consulting and implementation services that will significantly lower healthcare costs, conform with all applicable regulations and produce a positive return on investment.
Performance Pharmacy Solutions
Our one-stop solution for benefit
advisors & intermediaries.
Confidio Consulting Services
Fully customized solutions focused on
meeting clients’ unique objectives.
Clinical
Optimization
Focusing on price alone addresses only the tip of the iceberg. Our team focuses on clinical outcomes – the part you can’t see but hits you the hardest.
Cloud-Based
Pharmacy Analytics
We leverage your data and our insights into actionable steps that advance your strategic agenda and boost profitability.
Payment
Validation
We keep our finger on the pulse of your PBM with Performance Analytics – our automated contract compliance engine that regularly validates your PBM’s performance.
360º Strategy
Our diverse backgrounds have converged to produce a powerful, multi-disciplinary force focused on meeting your unique objectives.
Strategic
Sourcing
Our transformational procurement process catapults your organization to the leading edge of pharmacy management.
Our Team
The client was unable to obtain a pharmacy contract from its health plan and unable to validate pricing or rebate value. Through advanced analysis, working in close partnership with the company’s benefits advisor, we drove savings of more than $1 million.
The client had five individual hospitals, each with its own PBM contract. Our Strategic Sourcing solution consolidated five contracts into one and leveraged internal dispensing capabilities, which resulted in a cost savings of 21%.
Without any internal resources or insider PBM expertise, the client was unable to integrate detailed contract language or raw claims data. Quarterly Performance Analytics Contract Compliance Analytics identified a nuanced contractual commitment that was not accurately coded in the PBM’s system, resulting in a $5 million refund to the plan.
This carve-out Insurance carrier’s savings through PPS are in excess of $1 million over the three-year contract term and the pharmacy plan came in 19% below budget. Account management and vendor oversight, along with PPS’s semi-annual audit reporting, were the keys to this client’s success story.
Analytics
We keep our finger on the pulse of your Pharmacy Benefits Manager.
Our advanced analytics gives you the transparent insight you need to quickly and easily compare PBMs to find the best business partners for your clients and hold them accountable for financial and operational performance. Plus, our cloud-based contract compliance engine validates that your PBM is meeting its contractual obligations on an ongoing basis.
Click here to view our interactive Drug Price Inflation Tracker which helps to identify the one trend driver that cannot be controlled by your client. This tool highlights one piece of Confidio’s ability to provide visibility on drug price inflation and help optimize your pharmacy benefit.
