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Astonishing Healthcare Podcast with Josh Golden & Nic Bolitho

During our recent deep-dive into the #RFP process on #AstonishingHealthcare, Nic Bolitho (Manager, RFP Content) discussed something #employers are particularly focused on: the member experience. As he explained, all plan sponsors want to make sure their members will be able to get the assistance they need (including not having to endlessly battle a robot to reach a representative). And that’s where established processes, data, and proven success come into play. Listen to the full episode here: https://okt.to/iU1aJA

How is it almost Fall already? 🍂  Well, they say time flies when you’re having fun, and we’ve been busy over the last month! Our August edition of #CapitalRxInsights is loaded with updates and insights (pun intended 😉), including: 🎙️ FIVE new #AstonishingHealthcare episodes, featuring Jeffrey Hogan, Lauren Carroll, PharmD, Dr. Sunil Budhrani MD MPH MBA, Michael Tate, Mike Miele, FSA, MAAA, and Andy Kageleiry 📈 Highlights from the Business Group on Health’s new survey, which revealed some startling trends related to both #healthcare and #pharmacy costs in 2026 📰 The latest round-up of Capital Rx news, including a mention of our 4th consecutive year ranking on the Inc. Magazine 5000 ⚕️ Brian TenEyck’s Consultant Corner, discussing the benefit and utility of #UnifiedClaimsProcessing and #JudiHealth So grab your coffee, your tea, or whatever beverage you have and dive in below.

The Upside of a Single-Ledger Model™ in Pharmacy Benefits

By leveraging the Single-Ledger Model™, you’ll gain unparalleled insight into prescription costs, ensuring price transparency and predictability. Read our article, The Upside of the Single-Ledger Model™, to see how this innovative model eliminates the inefficiencies of traditional PBM practices, allowing you to maximize savings while delivering better value to your members. Additionally, the ability to access real-time pricing data empowers you with actionable insights to make smarter, data-driven decisions. ➡ Optimize costs ➡ Improve outcomes ➡ Simplify benefits administration

Stay Compliant Without the Complexity

Transition benefits and CMS requirements don’t have to be a headache. Judi® simplifies compliance by automating real-time transactions, streamlining CMS reporting, and enhancing plan visibility—so you can stay ahead, stress-free.

Astonishing Healthcare Podcast with Tracey Rollins, CPM, and Kristen Morgan

Within #healthcare, trust is vital. This is especially true when implementing a new #PBM. Plan sponsors want to make sure they and their members won’t experience any disruption. So, we brought two of the best #implementation professionals - Kristen Morgan and Tracey Rollins, CPM - into the #AstonishingHealthcare studio to discuss this process - including how they work to build trust during it. But the conversation didn’t stop there. We also covered how modern technology, like Judi®, enables them to work faster and more precisely. 🎧 Listen to the full episode here: https://okt.to/qVdeaT

Customer Care Powered by our Experts

At Capital Rx, our customer care team is composed of PTCB-certified pharmacy technicians and healthcare professionals who bring specialized training and industry expertise to every interaction. This ensures your organization and members receive accurate guidance, swift resolutions, and a service experience that sets a new standard for excellence. Did we mention the awards?

Rice University asked for PBM Transparency. Capital Rx delivered a program that could scale with them while offering better visibility and flexibility. We uses a flat-fee pricing model with no revenue from drug spend and 100% rebate passthrough. Read the case study to learn how Rice University reduced plan costs and increased drug price visibility by switching to Capital Rx. Win-Win

[Webinar Replay] The Future of Health Benefit Design

Plan sponsors are looking for the best way to deliver quality care to their members while controlling or cutting plan costs and streamlining processes. By leveraging modern enterprise health technology like Judi®, it’s possible to transform pharmacy benefit management programs and, more broadly, health benefit administration. In our webinar, Jillian Lonson, PMP® (VP, Benefit Administration & Operations), and Jeff Brockner (Senior Manager, Product) showcased Judi’s capabilities and features, including how plan sponsors can leverage it to simplify day-to-day plan management, boost operational efficiencies, unlock deeper insights, and deliver better, more personalized care for their member population.

By leveraging our Single-Ledger Model™, you’ll gain unparalleled insight into prescription costs, ensuring price transparency and predictability. This innovative model eliminates the inefficiencies of traditional PBM practices, allowing you to maximize savings while delivering better value to your members. Additionally, the ability to access real-time pricing data empowers you with actionable insights to make smarter, data-driven decisions. Read how we provide accountability for prescription drug pricing at the claim level.

Implementing a new PBM doesn’t have to be scary. When you partner with Capital Rx, the transition to a new pharmacy benefit program is smooth and easy. Read our Seamless Implementation Overview for a look at how we handle the heavy lifting. Nothing to be afraid of here.

What a month it’s been for our team! 🎉 In addition to announcing our rebrand to Judi Health and sharing our $400M Series F funding round, we also joined the Charlotte Hornets at NYSE to kick-off our partnership together. 🏀 Not only that, we had the honor to discuss PBM reform with Congressman Jake Auchincloss on the #AstonishingHealthcare podcast (in addition to our other episodes featuring Kristen Morgan, Tracey Rollins, CPM, Bridget Mulvenna, Josh Golden, and Nic Bolitho) and shared some of our recent content - including a byline Josh wrote about automated prescription refill programs. Dive into all this news and more below.

Rice University asked to save money on drug spend. We delivered a 5% decrease WHILE implementing GLP-1 coverage. Capital Rx uses a flat-fee pricing model with no revenue from drug spend and 100% rebate passthrough. Rice University reduced plan costs and increased drug price visibility by switching to Capital Rx. And with the Judi® enterprise health platform, Rice University got the flexibility to implement changes quickly. Win-Win-Win

The New Standard in Pharmacy Benefit Administration

Capital Rx is redefining pharmacy benefit administration with cutting-edge technology, aligned pricing, and award-winning client and member service. See why industry leaders trust us.

4 Attributes of a Great PBM Partner eBook

Managing pharmacy benefits doesn’t have to be complicated—or costly. Capital Rx simplifies the process with transparent pricing, eliminating hidden fees and providing predictable costs. Read our eBook, 4 Attributes of a Great PBM Partner, to learn how to streamline your benefits administration while cutting expenses and keeping your employees happier. ✅Transparent pricing ✅ Simplified benefits ✅ Cost savings made easy

Astonishing Healthcare Podcast with Bridget Mulvenna, VP, National Business Development

At the end of every #AstonishingHealthcare episode, we ask our guest(s) for a story - the most astonishing or interesting thing they’ve witnessed in the industry that’s relevant to the discussion - with compliance top of mind, of course! When we chatted with Bridget Mulvenna, she returned to a theme throughout the conversation: the allure of #rebate money; she said, "I’m still surprised when folks pick the offer that has the highest rebate, especially if they have done any procurements in the past." 🎧 Listen to the full episode here: https://okt.to/0yMIoq

Astonishing Healthcare with Andy Kageleiry, VP of Judi Care

With everything from refrigerators to TVs having "smart" capabilities, what does it mean for something like #carenavigation to be smart? When Andy Kageleiry (VP, Judi Care) joined us in the #AstonishingHealthcare studio, he explained that personalization - in the same way social media is tailored to our individual interests and tastes - along with a #unified healthcare infrastructure, are the keys to unlocking truly personalized care recommendations. 🎧 Listen to the full episode here: https://okt.to/Hsiqac

Future of Customer Care in Healthcare

Capital Rx achieves a remarkable 99% Customer Satisfaction Rate by prioritizing First Call Resolution. Our dedicated customer care team resolves member concerns in a single call, reducing time spent on follow-ups and eliminating frustration. This commitment to efficiency and excellence ensures a seamless, satisfying experience that translates to lasting member trust.

4 Attributes of a Great PBM Partner eBook

Answer: Do they have clear pricing, advanced technology, and exceptional service that benefits both your team and members? That’s a good start. Read our ebook, 4 Attributes of a Great PBM Partner to learn how partnering with a transparent and innovative PBM can save your organization 10%-30% in the first year while delivering unparalleled service and compliance.

Astonishing Healthcare Podcast with Lauren Carroll, PharmD

As some may know, there are tools available that help alert pharmacists to potential drug therapy concerns at the point of sale. But as Lauren Carroll (Senior Clinical Programs Manager) explained during episode 77 of the #AstonishingHealthcare podcast, these alerts are bypassed up to 90% of the time. That’s why our program, Rx Retro, powered by Judi®, takes additional steps to notify prescribers and members of deprescribing related drug therapy concerns. 🎧 Listen to the full episode here: https://okt.to/eEzlgx

Partnering with a Transparent PBM Corrects Misaligned Incentives

How can employer plan sponsors hope to understand the complicated world of pharmacy benefits management (PBM) and optimize their programs? It’s easier said than done. It starts with an understanding of what the role of a PBM should be and how traditional PBMs have long operated in the shadows, creating inefficiencies that drive up costs and obscure true value. Learn the differences in working with a “transparent PBM” whose sole interest is integrating a benefit that works with your broader healthcare strategy.

Astonishing Healthcare Podcast with Jake Auchincloss, U.S. Representative, MA-04

We were honored to have Congressman Jake Auchincloss (U.S. Representative, MA-04) join us for Episode 81 of #AstonishingHealthcare! If you didn’t catch it, we covered a ton of health policy ground - from highlights of his Pharmacists Fight Back bill and #drugprices/NADAC to incentivizing #healthtechinnovation, supporting community health centers, and how to promote greater competition. But that’s not all. We touched on #valuebasedcare and contracting and - yep, you guessed it - GLP-1s came up, too! Thanks again to Rep. Auchincloss for taking the time to join us in the studio. 🎧 Listen to the full episode here: https://lnkd.in/edWJSuPs

All your pharmacy operations on one platform

Pharmacy benefits are evolving fast. Regulatory shifts and rising member expectations demand a claims processing platform that doesn’t just keep up but gets ahead. With Judi®, you can configure benefits, automate reporting, and unlock real-time insights—seamlessly, in one system.

By leveraging our Single-Ledger Model™, you’ll gain unparalleled insight into prescription costs, ensuring price transparency and predictability. This innovative model eliminates the inefficiencies of traditional PBM practices, allowing you to maximize savings while delivering better value to your members. Additionally, the ability to access real-time pricing data empowers you with actionable insights to make smarter, data-driven decisions. Read how we provide accountability for prescription drug pricing at the claim level.