What Makes PDA the RDS Experts?
The RDS Program is All That We Do.
Part D Advisors (PDA) was founded in early 2005 after the launch of the Retiree Drug Subsidy program. Our Board of Directors, four longstanding experts in the fields of data management, pharmacy benefits, healthcare consulting and federal health regulations, were seeking to use their industry knowledge and relations to assist Plan Sponsors with expertly navigating all aspects of Medicare’s Retiree Drug Subsidy Program from beginning to end. Today, PDA is the Retiree Drug Subsidy program industry leader, RDS experts boasting an experienced team of Retiree Drug Subsidy Specialists. Our Account Managers, Business Analysts, and Software Development Engineers have made it their sole business to make the Retiree Drug Subsidy program understandable, efficient and profitable for our clients. Let PDA’s RDS experts provide all the necessary services for your retiree health plan and relieve you of the burden of coordinating multiple service providers and the risk of miscommunications, incompatibility, and other headaches.
As the nation’s first Retiree Drug Subsidy Specialty vendor, PDA has spent a decade crafting both a unique process and propriety software in direct alignment with the RDS program requirements. In fact, 20% of the PDA team are full time software developers, constantly improving our process to ensure a smooth and successful Retiree Drug Subsidy (reopening or otherwise) application from start to finish.
Our Unmatched Experience, Track Record & Methodology
||Reopening Appeals Submitted
||More than $45B
||30 States and Counting
PDA’s process is the gold standard in RDS administration; combining expert claims aggregation, one-of-a-kind claim matching algorithms with software built specifically to maximize member eligibility and our proprietary prescription drug filter. These tools were developed solely for the RDS program and have allowed PDA to increase the subsidy value for our clients on average between 8%-15%, while providing our clients peace of mind that not a dime was left on the table. Additionally, PDA’s services are completely risk-free, which means we aren’t paid if our clients aren’t paid, a testament to our confidence in our process.
Last, but certainly not least, PDA stores all client data used in the Retiree Drug Subsidy application process for the CMS required 6 year term in case of a CMS audit. This data is stored in an auditable format and is backed by PDA audit support, so Plan Sponsors can rest assured they aren’t on their own if the CMS comes knocking.
Our Unparalleled Team of RDS Experts
Part D Advisors was founded with the sole purpose of using our industry expertise and relations to expertly navigate all aspects of Medicare’s RDS Program from beginning to end. Today PDA’s team of RDS experts consists of more than thirty employees; Account Managers, Business Analysts, and Software Development Engineers focused on simplifying and streaming the Retiree Drug Subsidy program for our clients. This outstanding team currently manages:
- Over 1,000 RDS ongoing and reopening applications for nearly 200 Plan Sponsors in 30 states
- Over 300 reopening appeals have been submitted with another 250 currently under review
- A data warehouse consisting of more than 400M claims that represent over $45B in total expense
- Eligibility information for over 4M members and over 780K Retired Medicare Eligible Individuals (RMEIs)
How our RDS experts Do what they Do
The founding of PDA centered around three main goals; to create the best subsidy management system in the country, to keep our clients protected in the event of an audit and to provide the best customer experience possible. These goals wouldn’t be possible without leading an outstanding team of customer service people, data management staff and software & hardware architects. The executive team has only one goal: letting our great team do outstanding work for our customers.
- Client Services
The Client Services Department provides excellent customer service to our clients while managing their participation in the RDS program. We have been providing RDS services since the inception of the program in 2005 and remain on the cutting edge of new RDS requirements and opportunities. We will take on the roles of RDS Account Managers, Designees and/or Cost Reporters to guide our clients through the RDS program from start to finish. Our staff benefits from extensive experience in the healthcare and pharmaceutical industries prior to coming to PDA which gives us a unique appreciation for the challenges a program like the RDS poses for some Plan Sponsors. Utilizing PDA’s proprietary software, we have 8 years of experience submitting applications, payment requests, reconciliations, appeals and reopenings, all focused on maximizing subsidy dollars and preparing our clients for any potential CMS audit. Most importantly, the Client Services Department strives to ensure the client always feels comfortable and in control of the process. While PDA is happy to complete as much of the application as possible without client involvement, ultimately, what the client wants is what they get. We’re no strangers to weekly update calls and emails and will customize our process to suit your needs.
- Business Analytics Team
The Business Analytics team at Part D Advisors serves as the hub between the client services department and the development team, helping our developers to design the software and technology that will best support the client services team to effectively utilize these proprietary tools to maximize a client’s subsidy. However, the main role of the Business Analytics team is to cultivate strong relationships with client data vendors to ensure PDA gets the most exhaustive and accurate member claims data possible with minimal impact on the client. These enduring relationships also greatly enhance the experience of PDA’s newest clients by helping them avoid the hassle of collecting the data on their own, especially in cases where a Plan Sponsor has switched vendors. Additionally, the quality and assurance checks conducted by the Business Analytics team serve as one of PDA’s multiple safeguards to ensure that client payment requests are accurate. By pairing Business Analysts with Account Managers from our Client Services team, PDA aims to provide each and every client with their own “team” dedicated to maximizing their subsidy dollars while maintaining RDS program compliance and prepared for an audit.
- Software Services Team
Part D Advisors is committed to simplifying the RDS application process not only for our clients, but for the Client Services Team who serve our clients on a daily basis. This is why we’ve made the investment in building a creative, dynamic group of developers’ whose role at PDA revolves around creating custom solutions to streamline the RDS process. By collaborating with both Business Analytics and Client Services, the developers have created a proprietary database to house all of PDA’s data in a secure and auditable format as well as software tools to automate and standardize the way PDA handles our clients’ RDS applications. This revolutionary system built by the Development team is always being updated and improved to create more creative, efficient ways to improve our clients’ subsidy payments with minimal effort on their part.
- IT Infrastructure Team
Part D Advisors prides itself on simplifying the RDS process for our clients, their vendors, and our partners. As such, PDA’s network administration team is capable of receiving client data files in virtually any format. Our years of experience have allowed us to construct numerous data import packages that suit anyone’s need, and our commitment to simplicity means we will build a custom made package when necessary. When importing client data, the IT Infrastructure works closely with Business Analytics to ensure the client’s sensitive medical information is 100% protected with state-of-the-art security software and always in compliance with HIPAA standards. Once this data reaches PDA, the two departments collaborate again to run the first of many state-of-the-art quality and assurance checks to look for and investigate missing fields, proper formatting, valid NDC codes and membership, as well as a variety of other CMS required information. Finally, our clients rest assured with the knowledge that PDA not only securely stores their data onsite, but also in a secure offsite location in case of database failure, ensuring them a smooth RDS application process.
- National Sales
The National Sales team at Part D Advisors is much more than cold calls and handshakes. They work tirelessly nationwide with our partners and future clients to increase understanding of the Retiree Drug Subsidy and the PDA opportunity. By specializing in creating custom presentations and materials tailored to your group’s needs, you can rest assured that PDA understands the unique challenges faced by you and each of the other different types of plan sponsors. Our experience working with many types of plan sponsors gives our sales force all the background they need to best position your group to find additional subsidy dollars. Additionally, after a client comes on board, they collaborate with the Implementation Team to make the project commencement smooth and timely.
- Implementation Team
As the newest addition to the PDA group, the Implementation Team is focused on streamlining the process of taking on new clients by supporting their efforts in document and data collection and navigation of the RDS website. Additionally, the Implementation Team is the main point of contact for PDA’s largest partners and clients. By providing regular reporting on the progress of subsidy applications, engaging in onsite client visits to aid them in the RDS application process, explaining the intricacies of our work at PDA, we develop and sustain client relationships to assuage client anxieties.
- Business Development Department
The Business Development Department is responsible for maintaining the applications, technology and products to maximize PDA’s level of service and capabilities for its clients. The department is constantly in the marketplace reviewing new requirements, technologies, and strategies that can be used to improve the customer experience. With the assistance of the Implementation, Software Services, IT Infrastructure, and Business Analytics teams, the Business Development Team works with our clients to understand the most effective processes for maximizing client subsidy and reducing both client risk and burden on internal resources. PDA’s constant commitment to process improvement, the best technology, and using current market stratagem makes PDA the industry leader in all things RDS.