What makes MedImpact different?

MedImpact is committed to delivering low net cost, high satisfaction and high clinical quality of care. We look at the whole healthcare picture, constantly re-evaluating and innovating new programs that deliver actionable management strategies to the market.

No conflict of interest
MedImpact’s business model is unique: avoiding conflicts of interest by not dispensing drugs. Our focus is effectively managing client pharmacy benefits, which results in better trend management and improved outcomes. We work with clients to direct prescribing to the lowest-net-cost, medically appropriate drug.

Operational excellence
Over the past 25 years MedImpact has developed and operated its own, proprietary and highly-flexible claims adjudication platform. This control allows us to be very flexible and responsive to client requirements without the complications caused by typical vendor/provider subcontracted relationships most PBMs have.

Our long-term strategy of delivering low net cost through financial transparency and full disclosure which will continue as a privately-held, conflict-free PBM

A focus on health outcomes
From compliance to advanced utilization and trend analysis, MedImpact provides clinical and financial management solutions to improve the quality of care and health outcomes. We strongly support our clients for quality rankings, as evidenced by the following:

  • In the 2014-2015 NCQA rankings, MedImpact supported six of the top 10 private/commercial, one of the top 10 Medicare and one of the top 10 Medicaid health insurance plans.
  • MedImpact clients ranked higher than the national plan average in the 2014 Centers for Medicare & Medicaid Services (CMS) Star Ratings.

MedImpact offers first-of-its-kind services, including: