Enhancing Pharmacy Benefit Performance
Tier 1 Pharmacy Consulting offers administration and management services to healthcare plans that offer prescription drug benefits. We provide our clients with smart, effective pharmacy solutions that meet the needs of their members, keep their best interests at heart and ultimately save them money.
Your Best Practice.
Plan Analysis and Design
Tier 1 works to improve quality, streamline operations, address important regulatory requirements, handle compliance pressures, and – perhaps most of all – improve overall plan performance.
Clinical Compliance and Consultation
Tier 1 establishes audit-readiness by reviewing data, identifying issues, answering questions and delivering solutions to heighten compliance and ensure positive outcomes for health plans.
Rational Solutions. Innovative Strategies.
The healthcare industry is always changing and staying on top of all the updates is difficult. With Medicare being one of the most highly regulated and complicated segments of the industry it makes sense to partner with the right people. The team at Tier 1 are experts in Medicare Part D.
We have a thorough understanding of the ins and outs of Medicare, so partnering with us guarantees your health plan aligns with federal and state rules, regulations and guidance. This can help ease concerns about readiness in the event of an audit by the Centers for Medicare and Medicaid Services (CMS) or other agencies. Keep in mind, most health plans are undergoing two audits a year at a minimum anymore.
Deep Expertise for Every Health Plan
Teaming up with Tier 1 Pharmacy Consulting gives your health plan an advocate and partner with a solid foundation in pharmacy benefit management combined with the patient-focused aspect of pharmacy itself.
We are committed to enhancing pharmacy benefit performance for health plans of all shapes, sizes and regulatory needs.
Meet the Founder: Brent A. Hiley, PharmD, MBA
Dr. Brent Hiley is an expert in pharmacy benefit plan design and management. With more than 20 years of experience in healthcare and pharmacy benefit management, Dr. Hiley leads Tier 1 to help health plans reach their goals and improve patient care.