Pharmacy benefits are one of the fastest-growing cost drivers in healthcare and one of the most complex to manage. Take control of your pharmacy spend with the MacroHealth Marketplace Platform by bringing strategy, pharmacy benefit manager (PBM) performance oversight, and integrated analytics into a single, Payer-controlled environment.
Contact UsWith the MacroHealth Marketplace Platform, plans can build a clearer, more responsive pharmacy strategy – one that adapts as market conditions, member needs, or vendor relationships evolve.
Explore the MacroHealth Marketplace Platformmembers served
PBM Health Market Partners
up to 40% reduction in pharmaceutical spend
Optimize spend on the five categories representing 60–90%
of pharmacy costs.
Optimize specialty medication claims processed through the
medical benefit.
Optimize specialty pharmacy claims processed through the
pharmacy benefit.
Optimize all claims processed through the pharmacy benefit, including GLP-1 medications.
See how MacroHealth helps Payers understand their pharmacy spend, identify areas of cost containment, and predict the impact of interventions.
Full Picture of Pharmacy Spend
MacroHealth analyzes pharmacy claims from both the medical and the pharmacy benefit to provide a comprehensive view of your spend.
Identify Best-Fit Partners
Compare and confidently select Health Market Partners based on your business criteria.
Improve Access and Convenience
MacroHealth’s Health Market Partners provide member programs that focus on improving medication access while boosting quality and convenience.
Clinical Support for Specialty Drug Programs
Our licensed pharmacists are experts on specialty drugs, biosimilars, and current pharmaceutical best practices.
Blog
As specialty spend continues to rise, it’s critical to understand the key differences between Specialty Pharmacy and Specialty Pharmacy Ben…
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eBook
Explore the complex systems influencing pharmacy benefit costs and discover actionable insights to address related challenges.
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Video
See how the MacroHealth Marketplace Platform delivers the insights you need to take back control of your pharmacy spend.
Learn More“We approached MacroHealth for a simple solution to optimize our net profits and are pleased with the favorable results we have received for both gross and net savings. Also, their team is professional, responsive, and easy to work with. If you are looking to optimize your offerings, ask for MacroHealth, they deliver!”
Valérie LocteauDirectrice Principale Assistance Médicale Voyage
Senior Director Travel Medical Assistance
“MacroHealth has helped UHA to offer a robust, high-quality network of physicians and hospitals for our members while they are away from Hawaii. We are pleased to work together with MacroHealth in this effort to offer a simpler and easier experience to our members.”
Contracting Services ManagerUHA Health Insurance
“MacroHealth’s actionable and real-time data gives Providence Health Plan a competitive edge with prospective member groups. Through our collaboration with MacroHealth, we’ve seen significant reductions to the level of effort needed to operationalize and connect to network and pricing solutions.”
Chief Growth OfficerProvidence Health Plan
“MacroHealth is an easy company to work with. They have great people who understand our business and work collaboratively to help us achieve our goals. I highly recommend using MacroHealth for your savings needs in the US.”
Taka KatsubeCost Management and Medical Assistance Director
TuGo
“When we selected our new national network, Aetna Signature Administrators, it was critical that we find a partner like MacroHealth who could help us navigate the implementation process and necessary data exchanges. Throughout the implementation process, MacroHealth quickly surfaced, analyzed, and organized a complex and encompassing set of needed requirements. Their expertise helped us keep momentum and led to a smooth rollout. We’re pleased to welcome them as a long-term partner.”
Tony Kopki Vice President of Commercial Programs
PacificSource Health Plans
Step into a smarter, more connected healthcare marketplace to unlock up to 40% pharmacy cost savings and transform your pharmacy strategy with data-driven solutions and trusted Health Market Partners.
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Witness data-driven healthcare transformation firsthand. Request exclusive access to the MiX Platform Demo video now.