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Rightway's SureSpend™: A New Era in Pharmacy Benefits Management

In the ever-evolving landscape of pharmacy benefit management (PBM), Rightway has made a significant leap forward with the introduction of its new model, SureSpend™. This initiative aims to tackle the issues inherent in traditional PBM pricing structures, bringing much-needed transparency and accountability to drug spending.

Understanding the Challenges of Traditional PBM Models

Historically, PBM systems have been plagued by hidden conflicts of interest and pricing loopholes. These issues often result in escalating costs for employers and consumers alike. Traditional models have relied on opaque rebate systems, undisclosed discounts, and formularies that sometimes prioritize highest-rebate drugs over more cost-effective options. Furthermore, many of these systems offer limited year-end reporting, leading to unexpected financial burdens for businesses.

The traditional per-member-per-month (PMPM) guarantees often expose companies to severe limitations, with entire classes of drugs being excluded from coverage. There are also capped refunds, which can create significant liability if a company exceeds its budget. In such arrangements, savings are sometimes not fully passed to employers, resulting in hidden operational costs.

Rightway's Innovative Approach

Rightway's SureSpend™ aims to eliminate these long-standing issues by introducing a transparent spend management model. The core principle of SureSpend™ is straightforward: employers deserve clarity and should not have to make a choice between transparency and traditional models that harbor conflicts of interest.

Jordan Feldman, co-founder and CEO of Rightway, states, “Employers shouldn't have to choose between transparency with loopholes and traditional models with conflicts of interest. The SureSpend model eliminates that false choice.” This is a pivotal moment in PBM where employers can expect complete transparency and genuine financial protection.

Key Features of SureSpend™

1. Precision Pricing Guarantee: This guarantees a fixed monthly cost that comprehensively accounts for costs without transferring liability back to clients. In a remarkable pledge, Rightway refunds 100% of any overages without limits.
2. Zero-Markup Wrap: Unlike many traditional PBMs that exclude certain costly drug classes, SureSpend™ extends its financial protection to include these medications, ensuring that no drug is left behind when it comes to affordable access.
3. Full Accountability: Rightway emphasizes that both employer and member expenditures are considered, creating true accountability for total costs. This includes regular reporting and rebate reconciliation, ensuring that clients receive proper financial oversight.
4. Guided Health Navigation: The Rightway pharmacy team actively helps members find clinically appropriate alternatives at reduced costs. This service promotes cost-effective treatment paths while enhancing clinical outcomes.

Rightway's commitment to transparency extends beyond mere pricing. By eliminating conflicts of interest—such as pharmacy ownership—Rightway focuses solely on the well-being of its members, diverging from the practices of traditional PBMs.

About Rightway

Rightway is not just redefining PBM; it’s fundamentally transforming how care navigation and pharmacy benefits are perceived. Its member-first approach merges clinical expertise with technology, guiding members to make informed health decisions. By doing this, Rightway reduces healthcare costs and enhances overall patient outcomes.

In an age where healthcare costs continue to surge, Rightway ensures businesses can provide comprehensive health benefits without compromising on their employees' happiness or health. For more information, visit Rightway Healthcare.

Through its SureSpend™ model, Rightway sets a new standard in pharmacy benefits management, advocating for awareness, efficiency, and above all, accountability in healthcare spending.