Our solutions reduce drug spend for payers, employers and patients and employers by providing patient-specific drug and alternative cost and coverage information to pharmacists and prescribers at all prescribing points of care. Working with their patients, healthcare providers can weigh the cost-benefit of medications, taking into consideration the out-of-pocket costs for the patient as well as the total drug costs. This empowers more cost-effective care and better outcomes for patients. Gemini services also better align financial incentives between payers, providers and patients.

  • Simple Gemini-led implementation and use for the payer and provider partners drive value-based care
  • Complies with CMS rules 4180 and 4190
  • Increases STARS Ratings and HEDIS Measures
  • Creates a Differentiator and Competitive Advantage in the market
  • Guaranteed ROI of 4 to 1

5 times the alternatives x 5 times the services/touch points = 10 times the savings

Gemini has an integrated suite of five drug cost transparency services, far beyond standard PBM RTPB services, that offer lower cost alternatives at 5 different Patients “touch points” where patients are interacting with healthcare providers regarding their prescription drugs. Additionally, providing lower cost alternatives 5 times more than the industry average1 enables us to provide 10 times the industry savings.

Beyond savings, Gemini offers improved member and provider partner satisfaction including:

  • Decreased number of prior authorizations
  • Reduced pharmacy call backs, saving time for members and providers
  • Reduced number of member complaints based on reduced drug cost, moves to 90-day fills and fewer drug hassles
  • Impact on adherence based on lower cost medications

Gemini also provides a unique, proven competitive advantage and differentiator for payer’s sales and marketing efforts, resulting in:

  • Competitive advantage to win as an integrated health plan over standalone PBM offerings/capabilities
  • Avoiding misaligned/conflicted PBM incentives
  • Improved Member/Employee experience
Contact us to learn how Gemini lowers drug spend for Plans and Employers