Brokers & Consultants
Brokers, plan administrators, and benefits consultants play an integral role for many self-insured companies.
Unlike fully insured plans (where the carrier assumes the risk), brokers and consultants in self-insured arrangements take on a much more strategic, financial advisory role, as the employer is the one at risk and must be more actively involved in managing their healthcare costs.
Aphora Health works with Brokers and Consultants to give their clients an edge – guaranteed pharmacy savings with NO disruption and FULL transparency.
Whether we provide a Specialty carve out or services that cover all medications, Aphora Health works closely with brokers and consultants to deliver self-insured employers with the same high degree of service and support.
Upload or securely transmit de-identified pharmacy claims. We model precise savings by drug/Tier/therapeutic class.
We configure the program to your client’s PBM, plan design, and stop-loss considerations. No PBM change required.
Same medications, same manufacturers delivered with $0 copays on covered prescriptions and white-glove support.
Transparent, audit-friendly reporting aligned to fiduciary duties and procurement standards.
Formulary optimization, sourcing options, adherence programs, and outcomes tracking.
Therapeutic interchange where appropriate, pass-through pricing, and member incentives.
Works alongside major PBMs, TPAs, eligibility platforms, and stop-loss partners.
Prior auth coordination, refill management, and member advocacy.