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Predictive Claims Modeling Tools
PRAM has developed several proprietary modeling tools that will give you the ability to accurately predict next year's claims experience.
With possible adjustments to your PBM pricing, member copay, member coinsurance, maximum claim copay, deductible, out-of-pocket maximums, benefit maximums, administration fees, rebates and trend calculations, our models have the ability to take your past experience and predict your future drug spend even with changes to your plan design.
Our models even account for the changes in the formulary as you transfer business to a different PBM.
Our models will allow you to experiment with various plan designs to show a targeted percent member share, plan savings goal or to reach a needed budget.
To support our models, you will be assisted by our pharmacy staff, with many years experience in managed care. Our staff will help you develop options in plan design that will best balance the member's care and your corporate financial needs.
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