The pharmacy benefit management (PBM) services of American Health Care are unique in that adjudification of claims is only one component of the company. American Health Care has the ability to incorporate a fully integrated medical and pharmacy data predictive modeling system with direct physician communication to bring about a positive change—not just a report. The benefit from physician education and intervention goes far beyond any initial savings for a particular patient, condition, or prescription. The prescribing physician can now use this knowledge again and again, for future patients and prescriptions. This proactive philosophy is unique in the PBM industry and enables American Health Care to consistently deliver:
- shorter recovery times
- decreased utilization of services
- decreased medical costs
American Health Care has proven that 1) better drug choices decrease costs 2) better drug choices are not dependent on cost, and 3) better advertisements, promotions, or rebates are not drug-choice considerations. The national PBM total drug-cost trend for the last 5 years has averaged a 10% to 17% increase per year. American Health Care’s PBM total drug-cost trend for the last 5 years has averaged less than 5%. Quality pharmacy management while reducing costs and maintaining a lower per member/per month (PMPM) than the national average