Reinvent Healthcare

About Reinvent Healthcare

ReinventHealthcare is a healthcare innovation firm. We help employers, brokers, consultants, payors, hospital systems, third-party administrators, and public entities reduce and control costs from overpaid medical and specialty pharmacy medication payments. We have created an ecosystem of consultants, technology professionals, attorneys, pharmacy professionals, and vendors who work together to help our clients reduce their medical and specialty pharmacy claim costs by 10-12% annually and maintain compliance with ERISA law and the Consolidated Appropriations Act of 2012. Employers have defined fiduciary responsibilities under the Employee Retirement Income Security Act (ERISA). These responsibilities include prudent management of plan assets, avoidance of prohibited transactions, and adherence to the exclusive benefit rule. Our partners provide our clients with guidance and clarity in complying with these rules and the Consolidated Appropriations Act of 2021 (CAA). Section 201 of the CAA prevents employers from entering into agreements that prevent access to cost and quality information, known as Gag clauses. In Summary, our ecosystem of solutions and partners helps you reduce your medical and specialty pharmacy spend by 10% to 12% annually by identifying overpayments, fraud, waste, and abuse in your medical plan while helping you maintain compliance with ERISA and the CAA of 2021.

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