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Asepha Prism • Enterprise Console
Demo:
High Exposure

Central Care Pharmacy

Profitability Visibility & Action Plan

POS Withholds

$58,000

Expected Net True-Up

$9,800

Current DIR %

5.4%

Target DIR %

5.0%

Performance Gap

0.4%

Above Target

PBM Performance Overview

PBM Comparison (DIR % vs Exposure)
PBM Summary
PBMStoresPDCGDRSUPDHealthAction
CVS Caremark8405.8%$9.2M78.5%82.3%71.2%62View Details
OptumRx5605.1%$5.7M85.1%89.5%81.2%78View Details
Humana4406.3%$4.8M76.2%80.1%68.5%55View Details
Express Scripts3905.5%$4.1M83.5%87.2%78.3%70View Details
Prime2705.0%$2.3M87.8%91.3%84.5%80View Details
Aetna1905.4%$1.6M81.2%85.1%74.8%73View Details
Category Contribution to DIR
Breakdown by performance metric
Adherence (PDC)2.8%
GDR2.2%
Statin-in-Diabetics1.5%
Quality Bonus0.3%
Payer Mix
Distribution by insurance type
Medicare Part D
45%
Commercial
30%
Medicaid
15%
Cash
10%
$ Recovery To-Dos
Pharmacy Coaching Agent (PCA) recommendations

Total Recovery Potential

$16,700

High
Estimated recovery: $9,000
High
Estimated recovery: $3,200
Medium
Estimated recovery: $2,100
Medium
Estimated recovery: $900
Low
Estimated recovery: $1,500
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