What is the difference between a PBM report and independent reimbursement oversight?
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A PBM report is prepared by the PBM and typically shows selected performance measures. Independent reimbursement oversight, such as the analysis Stratos Insights provides, examines the underlying claims data to test whether reimbursement behavior and financial outcomes actually match expectations. The difference is independence and claims-level detail.
Does Stratos replace our existing reporting?
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No. Stratos complements existing reporting by adding an independent, claims-level layer of validation and visibility. Organizations use Stratos to confirm what their PBM or payer reports are telling them and to surface patterns, like below-cost claims or spread pricing exposure, that summary reports often miss.
Is Stratos a PBM?
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No. Stratos is not a pharmacy benefit manager. Stratos provides independent reimbursement oversight and claims-level analysis. It helps organizations better understand PBM reporting, reimbursement behavior and financial outcomes, but it does not administer pharmacy benefits, process claims as a PBM or manage formularies.