Prime launches enhanced Insights+

May 1, 2023

 Impacted: Full-service clients that send Prime Medical data except HCSC, ABCBS & CHP (BCBSAL, Florida Blue, Cambia, BCBSKS, BCBSMN, BCBSNC, BCBSND, BCBSNE, BCBSNJ, BCBSRI, BCBSWY, Capital Blue Cross). We will be formally introducing this tool to HCSC, ABCBS & CHP at a later date. ​​​

All lines of business will be included in the launch with the following exceptions: Inbound Medicare data feeds for NC, NE, and KS have a defect impacting the payment amounts and will be suppressed until the defect can be remedied.

Meet Insights+ Prime Therapeutics one-stop, user-friendly digital solution for all your reporting needs. This comprehensive tool provides more than a hundred types of detailed reports, all accessible in an interactive, easy-to-navigate platform.

Through its suite of analytics tools, Insights+ provides a deep understanding of the performance of products, services and programs across multiple domains:

  • Integrated analytics analyzing medical and pharmacy data together
  • On demand in-depth claim-level analysis
  • Discover diverse packaged reporting that dives into key areas including operations, programs and analytics

This in-house investment aligns with Prime’s knowledge management expertise and builds a strong foundation to support other future enhancements.

Why Insights+ 

  • Easy to use: This web-based platform provides faster and easier access to all the reports you need in a single dashboard. You’ll no longer need to juggle passwords and websites for multiple reporting platforms, giving you more time to focus on your data, not logistics.
  • Comprehensive, customizable reporting: Access our many available reporting packages or create your own reports specifically tailored to your business needs. You can even drill down to member-level analysis in specific reports.
  • Consultative data and actionable insights: Use data insights to take action to lower your drug costs and optimize your plan’s performance.

Integrated analytics 
Unlike other PBMs that may look at medical and pharmacy claims separately, Prime’s unique relationship with our Blue Plan clients allows us to analyze medical and pharmacy claims together and solve for integration complexities. This means you and your employer groups get more accurate data, which you can turn into actionable insights to meet your business needs.

This integrated drug report provides the most thorough reporting on information such as:

  • Cost and utilization breakdowns
  • Spend split between medical and pharmacy
  • Claim-level data for a patient or drug
  • Predictive modeling for potential high-cost members

Additional reporting capabilities available to clients 
Pharmacy Trend Overview: Released in early 2023, the Pharmacy Trend Overview Dashboard provides a set of interactive and exportable dashboards. This tool allows clients to analyze period-over-period changes in cost within the pharmacy benefit and quickly identify cost drivers. Learn more.

Learn more and access Insights+ today
Review the following training (password: therapeutics) and Insights+ high-level overview to learn more.

Visit the enhanced Insights+ tool to access comprehensive reporting and help you reach your goals.

(Note: If you do not currently have access to the tool, please work with your IT administrator as you would to access any Prime application.)

If you have questions or input, please contact