One of the big differentiators for Employers Health is our purpose – our why. Since our founding, our work has been focused on helping our clients deliver high-quality, affordable health care benefits to their employees and their families. While much has changed in the marketplace since that time, particularly over the course of the past couple years, our team continues to make a difference for our clients by delivering solutions with an emphasis on positive outcomes; a first-rate experience and best-in-class pricing.
2021 was another excellent growth year for our team with the addition of 40 new clients representing more than $250 million in new pharmacy spend. Our group purchasing solutions for PBM services now represent $2.2 billion in collective spend. To support our growing client base, we continue adding talented individuals to our high-performing team. We added five new team members in 2021 and have already added 10 so far in 2022.
Our clients’ pharmacy plans achieved, on average, negative trend in 2021 despite the increased cost pressures from COVID-19 vaccines and specialty drugs.
COVID vaccines, for which employers only paid an administrative fee, still represented $1.50 PMPM across our book-of-business. On average, specialty drugs accounted for 41.7% of total pharmacy costs and continue to grow. Our team of clinical pharmacists, data analysts and PBM experts are committed to creating opportunities for our clients to stay ahead of continually rising health care costs.
At Employers Health, we also strive to exceed our client’s expectations and we are delighted to report that this year’s overall client satisfaction score was an outstanding 4.8 on a five-point scale; another record score. The quotes you’ll see throughout this report are actual client feedback received through our annual client satisfaction survey. We are extremely proud of the hard work and dedication our team puts in each day to ensure our clients deliver on their promises to all of their stakeholders. Please let us know if there’s ever a way we can be more helpful.
Thank you for another successful year! We hope you enjoy this report of our shared achievements!
Joe Chaddock & Chris Goff
We know we have a trusted partner to help negotiate favorable contract terms from a pharmacy perspective which will save us money. It is peace of mind knowing that they are in our corner to help us navigate the constant changing and complex nature of the pharmacy world.manager, benefit strategy
Employers Health is committed to providing resources, tools and expertise to help plan sponsors deliver high-quality health care benefits at a sustainable cost.
How we accomplish our mission:
- Managing group purchasing strategies.
- Benchmarking and data interpretation.
- Building physically and mentally healthy workforces.
- Sharing ideas and best practices.
- Collecting and analyzing market intelligence.
- Supporting population health improvements.
- Creating an environment where all team members bring their best selves.
Employers Health will be a premier, nationally recognized employer-led organization with a focus of:
- Earning the trust of our clients and their consultants as a reliable and consistent resource for unbiased, objective resources and expertise.
- Managing a variety of growing and market-leading collective purchasing solutions including pharmacy, medical and ancillary benefits.
- Achieving consistently-high levels of client and participant satisfaction and loyalty by delivering on our promises and helping employers achieve their desired results.
Employers Health brings value through a host of solutions that help our clients achieve:
- Affordable, high-quality health care benefits.
- Healthier employees who are more productive in their individual jobs, thereby creating better organizational performance.
- An informed workforce that interacts with the health care delivery system more effectively, leading to better health outcomes and lower costs.
- Fully engaged, resilient employees who can more effectively meet the challenges of today’s work and family environments.
- Work cultures with aligned incentives that produce employee loyalty and create “great places to work.”
Employers Health helps us maintain competitive pharmacy contracts and stay on top of best practices. The team also keeps us up-to-date on market trends and legislation in the works.employee benefits professional
Employers Health provides stellar service, is exceptionally responsive, professional, proactive and highly personable.Employers Health client
January 1998 Relationship Start
CVS Caremark is a leading pharmacy benefit manager. Together our dedicated account management teams work to reduce spend, increase adherence and improve outcomes.
limit days’ supply on specialty drugs
utilize the national retail network
utilize the Advance Control Specialty Formulary
January 2013 Relationship Start
OptumRx is a pharmacy care services company going beyond traditional pharmacy benefit management. With synchronized engagement, PreCheck MyScript and personalized care through OptumRx Specialty, OptumRx provides customized solutions to employers.
limit days’ supply on specialty drugs
limit new-to-market drugs
utilize the exclusive specialty strategy
January 2020 Relationship Start
Elixir was founded on the idea of providing an alternative to the traditional pharmacy benefit management model and aligning interests with those of clients and their employees.
utilize the standard formulary
utilize the standard retail network
utilize the exclusive specialty strategy
It would be hard to do my job without Employers Health and I know they could be of benefit to other organizations.manager, benefit strategy
With more than 25 years of pharmacy benefit purchasing under our belts, Employers Health’s dedicated team of pharmacists, data analysts, lawyers and employee benefits professionals have developed a straight-forward contract free of elaborate pricing games and confusing terms. As a result of our comprehensive contract negotiations, clients participating in our pharmacy benefits group purchasing program have exclusive access to market-leading pricing guarantees, diverse network and formulary management options and robust service and performance guarantees.
Employers Health ensures that groups in its PBM programs receive the most aggressive pricing and contractual terms available through the annual market check process it undertakes with each of its PBM suppliers. Evaluated nearly 200 times in 2021, the Employers Health pharmacy benefit management contracts are among the most scrutinized in the industry. In addition, each year Employers Health engages at least one national pharmacy practice to benchmark its pricing against current market pricing. With these data, long-term relationships with the PBM and the collective size of the Employers Health book of business, our in-house legal team annually negotiates with each PBM supplier to ensure every group in an Employers Health pharmacy benefit management program achieves aggressive pricing and best-in-class contract terms.
The market check process undertaken on behalf of Employers Health clients has led to a double-digit pricing improvement and helped Employers Health participating groups offset the costs associated with changing drug mix and price inflation on brand drugs – specifically, treatments for rheumatoid arthritis, psoriasis, atopic dermatitis and diabetes.
Moreover, an independent third-party audits the performance of each of Employers Health’s PBM suppliers on behalf of each participating group to ensure contractual compliance. While findings through the audit process are rare, Employers Health participating groups receive 100% of any audit recoveries.
The market check and independent third-party audit are critical differentiators enjoyed by all Employers Health clients. They ensure that each group continuously experiences market-competitive pricing and contractual terms. These facets of Employers Health’s PBM programs, when combined with the unparalleled clinical and client solutions support, create a holistic solution that is second to none.
Quantum Health is an award-winning consumer health care and benefits navigation company that delivers an unparalleled consumer experience based on empathy and trust, enabling employers to achieve industry-leading satisfaction rates and independently validated claim savings. Quantum Health’s model is based on years of consumer research and the insights learned from guiding millions of consumers and their providers through their health care journey.
EyeMed Vision Care knows that your eyes – and the eyes of your employees – are amazing. They see everything, everywhere and everyone. That’s why EyeMed offers Employers Health clients the network employees want with vision benefits that redefine expectations, all while making the experience easy for both you and your employees.
ComPsych Corporation is the world’s largest provider of employee assistance programs and is the pioneer and worldwide leader of fully integrated EAP, employee wellness and work-life services under its GuidanceResources® brand. By creating “Build-to-Suit” programs, ComPsych helps employers attract and retain employees, increase employee productivity and improve overall health and well-being.
Smiles are important, and since dentists can detect more than 120 symptoms of non-dental diseases, it’s essential to follow good oral health habits for better overall health. Delta Dental is the largest and most experienced dental benefits carrier in the U.S. and is committed to oral and overall health.
ELMCRx Solutions understands the complexity of specialty drug management. Its unique method eliminates costs from the pharmacy benefit delivery system by combining powerful clinical management with real-time oversight to control costs and prevent unnecessary payments. Through an unbiased, review ELMC helps deliver the best outcome for the plan sponsor and member.
Us-Rx Care is the only single source of fully-integrated, fiduciary-compliant pharmacy risk management solutions. It delivers valuable, independent clinical solutions that work in conjunction with your existing PBM and provide both additional savings and ongoing protections against high cost and specialty pharmacy claims with little or no disruption.
EH is always looking out for our best interests. They focus on offering cost-saving options whenever possible especially in our high-cost categories...They are a great partner to us and our benefit consultants.benefits and human resources director
s employers struggle to deal with a growing pharmacy spend, strategies to manage these rising costs are increasingly important. The Employers Health clinical team continuously monitors our book of business, often recommending and implementing custom clinical solutions to ensure appropriate use and exclusion of high-price, low-value drugs.
Our clinical team proactively identifies potential formulary issues and develops custom clinical strategies resulting in better adherence and ultimately a consistently flat-to-negative trend. Since 2016, the team has identified opportunities to implement custom clinical interventions on more than 1,000 unique drugs, multivitamins and nutritional supplements. These strategies typically target low-value, high-priced drugs and strengthen clinical criteria around the appropriate use of high-priced drugs with a narrow patient population. Additionally, strategies for rosacea and narcolepsy were implemented for the 2021 plan year.
The client solutions team at Employers Health is dedicated to helping enhance results and achieve goals all while improving the participant experience. A testament to their dedication to the industry, more than half of client solutions executives have obtained or are in the process of earning their Certified Employee Benefit Specialist (CEBS) designation.
We’ve constructed a team of benefit experts to navigate the complexities of the pharmaceutical industry. Employers Health client solutions executives serve as a conduit to the vast resources within Employers Health and the PBM. Our size and scale allow us to take an active management approach in identifying proactive strategies for employers seeking to maintain a flat or negative trend in their drug spend.
The team coordinates implementations, monitors spend and trend and delivers innovative solutions for your unique needs.
Clients by Region
Clients by Industry
27% education & government
14% health care
12% financial & professional services
Aside from the obvious cost savings and support, EH is always willing to lend a hand or provide guidance in any area of need...Employers Health client
Period Ending: September 30, 2021
|Net Fixed Assets||4,058,680|
|Total Liabilities & Net Assets||168,429,679|