Green Spring Insurance offers a full suite of strategic consulting services to help organizations take control of their pharmacy benefit programs. Our expertise enables clients to optimize their plans, reduce unnecessary spending, and stay ahead of industry trends. Our services include:

Overview of Services

Explore Our Targeted Pharmacy Solutions

Managing Pharmacy Benefit Manager (PBM) RFP Processes
We oversee the entire Request for Proposal process, ensuring you get the most competitive and transparent PBM contracts available.

Reviewing and Negotiating PBM Agreements
Our team carefully evaluates your current PBM contract and handles the drafting or negotiation of new agreements or amendments to ensure better terms and greater savings.

Deep Claims Data Analysis
We dive into your pharmacy claims data to uncover opportunities for cost savings through smarter plan design, program enhancements, and drug utilization strategies.

Plan Design Optimization
We provide strategic guidance to redesign your pharmacy benefits plan, such as:

  • Removing overpriced medications with affordable and clinically appropriate alternatives

  • Implementing advanced utilization tools like step therapy, prior authorization, generic-first policies, and quantity limits

  • Establishing preferred or limited pharmacy networks to control spending

    Comprehensive Auditing Services
    Our audits uncover overcharges, contractual discrepancies, and missed savings opportunities—ensuring every dollar is accounted for.

    Ongoing Financial and Clinical Oversight
    Our commitment doesn’t stop after implementation. We continually monitor claims trends, respond to market shifts, and adapt strategies in real time to address:

    • Brand-name drugs going off-patent

    • The introduction of high-cost specialty medications

    • Fluctuations in drug pricing and new FDA approvals

With GSI, clients benefit from customized strategies that are data-driven, proactive, and designed to support both financial health and patient outcomes.