Health Plan Analysis & Reprice
ABOUT THE PLAN
The Health Plan Analysis & Reprice is a comprehensive evaluation of your organization’s total health plan spend—integrating both medical and pharmacy claims—to uncover where your dollars are going and where savings can be realized.
By unifying the data, Masonry provides a clear picture of your current vs. repriced Total PMPM, the split of costs across Medical and Rx, and a 12-month roadmap to achieve measurable savings and performance improvements.
This complimentary analysis delivers the clarity and direction needed to optimize benefits strategy, contracting, and vendor management.
De-identified medical and pharmacy claims (minimum 12 months)
Current plan design documents (medical and Rx)
Any available network, TPA, or PBM contract summaries
Executive Summary highlighting key findings and savings opportunities
Comprehensive reprice analysis comparing current vs. optimized spend (Total PMPM, Rx vs. Medical split)
Strategic recommendations and 12-month savings roadmap with prioritized actions
Board-ready presentation slide summarizing the financial and strategic impact
Understanding your total health plan performance is the foundation for smarter plan design and vendor alignment.
This complimentary analysis equips you with a data-driven view of your current spend, identifies immediate and structural savings opportunities, and provides a clear roadmap for achieving cost efficiency and long-term plan sustainability—all in a concise, executive-ready format.
Contact us today to schedule a consultation and discover how Masonry Health can transform your organization’s approach to healthcare benefits.