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Strategic Sourcing-
    Medical
Strategic Sourcing-
    Pharmaceuticals
   
 
 
 

 

"Maximizing the value of your healthcare investment"

 
 

 

 

   
 
 
   

Case Study: Strategic Sourcing – Medical

A national retailer with 73,000 employees located in more than 25 states was seeking the most competitive PPO networks for its employees.

Objectives:
  • Identify the lowest cost health plans that met service and medical management performance requirements for each market that had at least 250 employees
  •  Achieve the optimal balance of contracting with lowest cost health plans, minimizing employee disruption and minimizing the number of different health plan vendors

Solution:

  • Complete a market assessment to identify viable health plans in each target market
  • Solicit hospital and physician negotiated payment information as well as administrative fees
  • Perform a detailed state by state analysis of health plan cost and identify the best-in-market health plan for each location

Results:

Contracted with two health plan vendors that had a presence in all target markets and kept employee disruption under 5%. This strategic sourcing initiative produced savings of $12 million in the first year of implementation