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Dynamic pharmacy analytics and reporting in one tool

Milliman SkySail

Lower pharmacy costs using real-time data and insights

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The challenge

Unsophisticated reporting processes lead to poor decisions

As pharmacy costs rise and complexity grows, small errors can result in large financial misses, loss of business, higher costs, and potential legal challenges. All stakeholders in the pharmacy value chain need data insights that improve access to affordable medications, lower costs, increase profitability, and minimize disputes.

The solution

Increase data velocity and accuracy with an integrated solution

Milliman SkySail® is a multi-use data analytics platform that ingests claims data from any source, rapidly analyzes it, and delivers actionable information to support claim summarization, repricing, guarantee management, RFP analysis, and more. It improves underwriting and bidding accuracy, increases sales success rates, reduces risk, and helps your analytics team work more efficiently.

BENEFITS

Milliman SkySail benefits

Lower pharmacy costs

Strengthen your bargaining power using reports that analyze real-time drug pricing trends and evaluate contractual exclusions.

Reduce payouts

Ensure contract compliance and leverage SkySail data to revise contract language, improving the bottom line.

Increase reporting efficiency

Flatten the learning curve for new hires and provide them with tools to make accurate, comprehensive reports.

Enhance data

Improve the accuracy and utility of your data automatically while maintaining the original dataset for reference.

FEATURES

Milliman SkySail features

Scale and speed of processing

Ingest pharmacy claims from anywhere in the pharmacy benefit industry. Using powerful machine learning technology, SkySail accurately processes the data at up to 1MM claims per minute. Apply modules and features to produce dynamic, in-depth analysis for a wide range of needs.

Connection to individual claims

Using ClaimDNA technology, SkySail cleans, ingests, analyzes, and presents data in a dynamic platform without ever losing the ability to drill into individual claims.

Dynamic reporting

Choose from a variety of fully customizable reports that enable you to analyze what matters to your business. SkySail can even interface directly with Microsoft Excel.

Monitoring in real time

View accurate, up-to-date information whenever you need it and adjust accurately prior to an end-of-year audit.

RFP analysis

Review and summarize claims detail to forecast and estimate drug spend based on RFP requirements and contract rates.

Client case study

See how the Milliman SkySail is helping businesses globally

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Client case study

Major employer with 450k lives saves $30MM and enhances PBM negotiations

Milliman SkySail, combined with Milliman’s expertise, helped the client avert potential financial discrepancies and gain insights to effectively negotiate with its PBM.

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Client case study

State employer 40k reduces PBM costs up to $40MM through reverse auction

Milliman introduced a reverse auction RFP strategy using Milliman Skysail which resulted in savings estimated to range from $20MM to $40MM.

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Client case study

International Building Trade Union empowers local funds with PBM insights and options

Using SkySail, Milliman’s assessments revealed numerous opportunities for pricing improvements, underscoring the benefits of active management and expert analysis.

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CLIENT CASE STUDY

Major Pharmacy Retailer Achieves Groundbreaking Data Processing

Adopting SkySail revolutionized the pharmacy's data processing system, leading to a significant reduction in operational costs and time required for data analysis.

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Insight

Related insight

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Series

Prescription Benefit Manager Best Practice Series

In this series of articles, Milliman consultants explore a range of issues relating to PBM best practices.

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White Paper

PBM Best Practices Series: RFP process

Is your PBM delivering ROI? Learn how to improve your RFP and contracting processes to get more value from the relationship.

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Article

PBM Best Practices Series: Effective contracting

One of the most important ways plan sponsors can lower healthcare costs without significantly changing their benefits is to look for opportunities to improve their pharmacy benefit manager (PBM) contract.

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Article

Effective contracting with pharmacy benefit managers

Effective PBM contracting can have a significant impact on the cost of prescription-drug benefits.

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Article

PBM Best Practices Series: Mitigating disruption and reducing plan costs: Keys to a successful PBM implementation

This paper looks at the pharmacy benefit manager (PBM) implementation process and identifies key items to consider for a successful PBM implementation, including pre- and post-implementation activities.

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CONSULTING

Related services

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