Healthcare & Pharmacy
32%
claim cost reduction
A regional employer uncovered the real cost of its PBM contract.
Before: The benefits team received clean-looking monthly summaries but could not reconcile contracted pass-through pricing against individual claims. Annual reviews relied on small samples and vendor explanations.
After: Avanon repriced the full claims history, identified recurring spread and MAC discrepancies, and supported recovery and contract correction. Pharmacy claim costs fell 32%, with ongoing monitoring preventing the same leakage from returning.