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Skip to content
 * Who We Serve Menu Toggle
   * Commercial Payers
   * Government Payers
   * Third-Party Administrators
   * Brokers/Consultants
 * Technology Menu Toggle
   * HDS Spotlight
 * Solutions Menu Toggle
   * Oversight & Analytics
   * Claim Scan
   * Script Scan
   * RevealRx
   * Customized Services
 * Resources Menu Toggle
   * Thought Leadership
   * Newsroom
   * HDS In the News
   * Payment Integrity White Paper
   * Case Studies
 * About Us Menu Toggle
   * Our Team
   * Board of Directors
   * Careers

Contact An Expert
Contact An Expert
Main Menu
 * Who We Serve Menu Toggle
   * Commercial Payers
   * Government Payers
   * Third-Party Administrators
   * Brokers/Consultants
 * Technology Menu Toggle
   * HDS Spotlight
 * Solutions Menu Toggle
   * Oversight & Analytics
   * Claim Scan
   * Script Scan
   * RevealRx
   * Customized Services
 * Resources Menu Toggle
   * Thought Leadership
   * HDS In the News
   * Newsroom
   * Payment Integrity White Paper
   * Case Studies
 * About Us Menu Toggle
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   * Board of Directors
   * Careers
 * Contact An Expert


MONITOR 100% OF YOUR PHARMACY CLAIMS IN A SINGLE PLATFORM

Leverage the HDS Spotlight platform to optimize your pharmacy benefit
performance and bend your cost curve

Explore Our Solutions

Play Video about Pharmacy payment integrity and pharmacy data analytics video
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Explore Our Solutions




PHARMACY DATA ANALYTICS SOLUTIONSFOR TODAY'S PROBLEMS.


Learn About Our Technology


RISING PHARMACY COSTS

Drug spending in America accounted for over $633.2 Billion in 2022 and is
expected to grow by an additional 4-6% in 2023. It is more critical than ever to
ensure appropriate payment for pharmacy claims to curb unnecessary overspending.


INEFFECTIVE COST SAVINGS MEASURES

Most traditional solutions such as end-of-year audits, true-ups, market checks,
and RFPs are resource-intensive, retrospective, and largely ineffective at
bending the cost curve. The market needs prospective solutions to drive
meaningful cost savings.


DISPARATE SYSTEMS TO MONITOR CLAIMS

Managing the pharmacy benefit can be difficult and extremely complex. Claim
information can be siloed and require IT intervention. With limited resources,
many plans rely on multiple systems to gain the data visibility necessary to
make key decisions. 

Learn About Our Technology



WHO WE SERVE

HDS provides comprehensive pharmacy benefit oversight for several key
stakeholders including:


COMMERCIAL PAYERS

Learn More


GOVERNMENT PAYERS

Learn More


TPAS

Learn More


BROKERS/CONSULTANTS

Learn More


WHO DO WE SERVE:

HDS provides comprehensive pharmacy benefit oversight for several key
stakeholders including:


COMMERCIAL PAYERS

Learn More


GOVERNMENT PAYERS

Learn More


TPAS

Learn More


BROKERS/CONSULTANTS

Learn More


SOLUTIONS FOR HEALTH PLANS WITH TRADITIONAL AND TRANSPARENT PBMS

In an industry riddled with hidden pricing and opaque contracting, federal and
state regulatory bodies continue to demand greater PBM transparency for payers
and pharmacies. HDS believes all plan sponsors should have unfettered access to
their data and the ability to use it to make strategic decisions
to optimize their plan.

With AI technology and advanced pharmacy data analytics, HDS equips plan
sponsors with customized pharmacy claims oversight solutions. With HDS plans can
review 100% of their claims against their PBM contract, plan design, market
competitive benchmarks, clinical standards, regulatory compliance, and
more. Regardless of which PBM your plan uses, HDS provides solutions to ensure
your pharmacy benefit is administered as intended. 





GO BEYOND THE TRADITIONAL PBM AUDIT

Today, annual PBM audits are primarily conducted to maintain compliance. They
help check the oversight box and unlike other industries, a pharmacy benefit
audit will be viewed as more successful if recoveries from the PBM are high. Why
would someone want to find out they overspent on their pharmacy claims a year
later?

At HDS, we help every plan sponsor go beyond the annual audit and help them
implement ongoing pharmacy claims monitoring throughout the entire
year. With invoice-by-invoice visibility into claim errors, plans can make
mid-contract changes and avoid unnecessary overspending before it occurs. Using
Claim Scan, health plans can keep more money in their pocket to use on what
matters most – their members. 


PHARMACY DATA ANALYTICS AND PBM ANALYTICS IN ONE PLATFORM

In the continually evolving pharmacy market, benefit personnel are left using
multiple systems to access, analyze, and make important decisions using data
every day. It’s easy to be overwhelmed by the volume and complexity of that
data. Lack of timely, comprehensive access to all your data can lead to
inefficiencies and negatively impact quality. 

The HDS Spotlight platform was designed with users in mind. With
an online, SaaS-based platform, HDS provides payers comprehensive access to all
pharmacy data at the claim level. Real-time access, advanced querying
capabilities, and sophisticated dashboarding makes pharmacy data analytics
simple.  





HDS BY THE NUMBERS


BY THE NUMBERS

0 +

Pharmacy Claims Analyzed

0 +

Customer Lives

Up to 0 %+

Savings in Pharmacy Spend

$ 0 +

Annual Claim Spend Reviewed


THE HDS PHARMACY DATA ANALYTICS PRODUCT SUITE

Learn More



PHARMACY DATA
INSIGHTS


RX OVERSIGHT & ANALYTICS




RX OVERSIGHT & ANALYTICS


PAYMENT
INTEGRITY


HDS CLAIM SCAN




HDS CLAIM SCAN


CAMPAIGN MANAGEMENT & COMPLIANCE


HDS REVEALRX




HDS REVEALRX


CUSTOMIZED
SERVICES


AUDIT | RFP | CONTRACT ANALYSIS




AUDIT | RFP | CONTRACT ANALYSIS


PHARMACY DATA
INSIGHTS




RX OVERSIGHT & ANALYTICS


PAYMENT
INTEGRITY




HDS CLAIM SCAN


CAMPAIGN MANAGEMENT & COMPLIANCE




HDS REVEALRX


CUSTOMIZED
SERVICES




AUDIT | RFP | CONTRACT ANALYSIS

In the first year, Rx costs for the group were reduced by 22%. They experienced
another 5% reduction in the second year with flat utilization. I would recommend
HDS because of their unflagging determination in bettering the understanding and
culture of their clients, while also helping them realize year-to-year cost
savings.


PRESIDENT & CEO, CONTROLLING PARTNER

BROKERAGE FIRM



The Kentucky General Assembly has made it a priority to increase oversight of
our Commonwealth’s pharmacy benefit managers. Over this past year, HDS has
successfully delivered on our vision by enabling greater transparency and
establishing pharmacy payment integrity between KEHP and their contracted PBM.
Their efforts have been beneficial for our taxpayers, KEHP, and represent a
model for other states to consider implementing.


STATE REPRESENTATIVE

STATE EMPLOYEE HEALTH PLAN



[HDS] is a strong communicator on difficult topics. We appreciate the laconic
approach. It was clear their team is very experienced in the pharmacy benefit
space and were essential in helping our team navigate the error resolution
process efficiently.


DIRECTOR OF PHARMACY OPERATIONS

MULTI-STATE HEALTH PLAN




LEARN HOW HDS CAN OPTIMIZE YOUR PHARMACY BENEFIT PERFORMANCE

Contact Us


WHO WE SERVE



Commercial Payers

Government Payers

Third Party Administrators

Brokers/Consultants


TECHNOLOGY



HDS Spotlight


SOLUTIONS



Oversight & Analytics

Claim Scan

Script Scan

Reveal Rx

Customized Services


RESOURCES



Thought Leadership

Newsroom

HDS In The News

White Paper

Case Studies


COMPANY



About Us

Our Team

Board of Directors

Careers

Contact Us


HealthPlan Data Solutions, Inc.
444 N. Front St., Suite 101, Columbus, OH 43215


+1 (614) 515-2700 | INFO@HDS-RX.COM


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WHO WE SERVE

Commercial Payers
Government Payers
Third Party Administrators
Brokers/Consultants


TECHNOLOGY

HDS Spotlight


SOLUTIONS

Oversight & Analytics

Claim Scan

Script Scan

Reveal Rx

Customized Services


RESOURCES

Thought Leadership

Newsroom

HDS In The News

White Paper

Case Studies


COMPANY

About Us
Our Team
Board of Directors
Careers

Contact Us



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