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Welcome

Bayham Consulting, LLC applies proven strategies to reduce prescription benefits costs, improve regulatory compliance, and enhance quality of care. 




Potential clients include any organization that:

  • wants to improve Member and Provider satisfaction
  • is at financial risk for prescription drug costs, 
  • needs to comply with federal or state pharmacy benefits regulations and guidelines, 
  • wants to improve quality of care, or 
  • is applying for accreditation

Managed Care Organizations (MCOs)
Accountable Care Organizations (ACOs)
Health Plans 
Self-funded Employer Groups 
State Medicaid Groups 
Retiree Groups 
Physician-Hospital Organizations (PHOs) 
Independent Physicians Associations (IPAs)


Our Services:

  • Member Advocacy
  • Pharmacy Services Management (On-site and Remote)
  • Utilization Management
  • Drug Utilization Review
  • Pharmacy Benefits Manager (PBM) Contracting
  • PBM Requests For Proposals (RFPs)
  • PBM Monitoring
  • Academic Detailing
  • Quality Improvement Programs (QIPs)
  • Regulatory Compliance
  • Accreditation Support
  • Medicare-Advantage Applications
  • Physician/Provider Interventions
  • Patient/Member/Enrollee/Beneficiary/Employee Interventions
  • Medication Therapy Management

          And much, much more.


 

 

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