Our latest insights to PBM data analytics and developing drug trends

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3 Steps to Level-Up Your Annual PBM Plan Review

Annual plan review season is fast approaching and PBMs, consultants, and payers are all actively preparing for these critical conversations. A comprehensive plan review takes time to create. From compiling key information to distilling data into an easy-to-understand narrative, you have substantial work in store if you want to get it right. Maybe you’re new […]
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How a Pharmacy Benefits Optimizer Differs from a PBM

The healthcare sector often grapples with understanding the complexities of managing pharmacy benefits, a task overseen by two types of entities: the long-standing Pharmacy Benefit Managers (PBMs) and the relative newcomers, Pharmacy Benefits Optimizers (PBOs). Understanding the nuances of their roles and how they adapt to evolving healthcare demands is crucial for organizations navigating this […]
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US Capitol building

PBM Legislation Update – How Can You Prepare?

Forty-nine active Federal bills have been proposed to date with far-reaching implications on pharmacy benefit management (PBM) practices, drug pricing and affordability, and the overall healthcare landscape. It’s a complex topic and much is still unknown. However, all PBM stakeholders should understand the focus of these bills and the potential impact on the industry at […]
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prescription bottles on top of stack of money

Drug Prices Are Going Up Again – Here’s How to Keep Costs in Check

It’s the start of a new year. January has flown by. About 43 percent of people who made New Year’s resolutions have fallen off the wagon. And manufacturers have kicked off their annual drug price hike.The bulk of these drug price inflations roll out in January, with more likely to follow in July. So far, […]
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5 Ways to Use Analytics for Solving PBM Business Problems

The Pharmacy Benefits Management industry is complex, with millions of data points gleaned from thousands of sources. Using data effectively depends on systematically analyzing it to uncover patterns, insights, and trends. This analysis is pivotal for providing actionable insights, optimizing performance, and driving strategic decision-making. In healthcare, Pharmacy Benefit Managers (PBMs) can use analytics to […]
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2023: A Look Back While We Move Forward

As 2023 comes to an end, we’re reflecting on key trends and changes in the pharmacy landscape as well as our evolution as a pharmacy analytics automation leader. Armed with what we’ve learned in 2023 along with a clear, innovative vision for the future, we’re heading into 2024 with a renewed commitment to helping our […]
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What To Know About Carve-in VS. Carve-Out Pharmacy

Employers have to be selective with their healthcare plans. Any possible way they can find to maintain quality coverage while reducing costs is a necessity. Small and mid-sized employers, especially, will look for ways to adjust their premiums, seek cost savings from telehealth, or make any adjustments they can without compromising quality or important options. […]
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The Impact of PBM Legislation in 2023

The rising cost of prescription drugs has long been a concern, and legislators have been pouring over the complexities of healthcare’s supply chain to pinpoint where they might intervene to bring those costs down. Recently, pharmacy benefits managers (PBMs) have been placed in the hot seat, with speculation that their crucial “middleman” placement in that […]
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healthcare worker typing on laptop

PBM Challenges: How To Improve Transparency and Efficiency in Healthcare

It is no secret—there is a complex value chain in healthcare. It’s also fair to say sometimes a patient’s needs get lost in the shuffle. Pharmacy benefits managers (PBMs) are an integral go-between among pharmacies, hospitals, drug manufacturers, and providers. PBMs face the daily task of negotiating terms and prices, selecting which drugs are covered […]
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Insulin injection pen or insulin cartridge pen for diabetics

How PBMs Manage the Costs of Ozempic & GLP-1 Drugs

The world of weight loss is always evolving, and a recent trend has caught the attention of many: the use of diabetic drugs, specifically GLP-1 drugs like Ozempic, for shedding the pounds. Originally developed to manage Type 2 diabetes, these drugs have found a new, off-label use in the weight loss arena. But this trend […]
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Man doctor using digital tablet

How To Improve the PBM Value Chain

For companies operating in the complex healthcare environment, Pharmacy Benefits Management (PBM) is pivotal for charting the way forward. The PBM value chain is a series of interconnected activities and stakeholders, all working to ensure that pharmaceutical products are efficiently developed, produced, and distributed. This value chain determines drug pricing, reimbursement policies, and ensures patient […]
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pharmacist looking at medication

How Do PBMs Affect the Retail Pharmacy Industry?

PBMs, or Pharmacy benefit managers (PBMs) are intermediaries between pharmacies, health insurers, and drug manufacturers. PBMs play a significant role in the retail pharmacy industry by managing prescription drug benefits for health plans, employers, and government programs. PBMs have been around since the 1960s and have a strong foothold in the healthcare sector. The relationship […]
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woman holding medication

Cost and Other Barriers To Medication Adherence

When it comes to managing health, taking prescribed medication correctly and consistently is crucial. However, a significant number of people struggle with medication adherence and don’t take their medicines as prescribed. This situation can lead to serious health complications and higher costs for both patients and the healthcare system. One of the main obstacles patients […]
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digital healthcare concept

Healthcare Payer Analytics: A New Era of Care

Digitalization is bringing the often disjointed operations of healthcare into closer union through healthcare payer analytics. As we edge toward a new synthesis of using data to drive better services, we see the potential for improved collaboration between providers, payers, and intermediaries. How Do Health Plans Take Advantage of Digitalization? Healthcare has entered the era […]
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Doctor taking pain and stress relief medicine to help with mental health during cover fatigue. Medical healthcare professional nurse showing the correct drug dose by pouring the pills in her hands

The Future of Biosimilars: What To Expect Next

To discern the future of biosimilars, a look at how far innovation in biologics has come is helpful. Biologics have saved millions of lives over the years and raised the standards of living for tens of millions more. But modern pharmaceutical markets also bring complex challenges to healthcare. We will take a close look at […]
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healthcare laptop ai

AI in 2023: How New Tech Is Shaping the Future

In 2023, artificial intelligence (AI), analytics, and automation are rapidly transforming the way businesses operate and serve customers by: AI, analytics, and automation are fueling the exponential growth of new industries, such as the Internet of Things (IoT), autonomous vehicles, and smart cities. As these technologies continue to evolve and become more widely adopted, businesses […]
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The Evolution of the PBM Business Model

Pharmacy Benefit Managers (PBMs) play a crucial role in healthcare by managing prescription drug benefits for health plans, employers, and government programs. By leveraging scale and expertise, PBMs help to control surging drug costs, increase access to prescription drugs, and improve the quality of care for patients. Over the years, PBM business models have evolved […]
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blood product in bottle in the work line

How To Analyze Claims Data: What You Need To Know

As healthcare costs continue to rise, Pharmacy Benefit Managers (PBMs) are under increasing pressure to manage their clients’ drug spend, while ensuring patients have access to the medications they need. One of the most valuable tools at their disposal is healthcare claims data, which can deliver insights into patient behavior, healthcare utilization, and healthcare costs. […]
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How To Find Solutions To Chronic Disease Trends

Chronic disease problems are growing, and this places an increasingly heavy demand on health systems. Reasons for the upward trend include aging populations, changes in lifestyle and behavior, and non-adherence to medical treatment.

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7 Ways To Improve Clinical Outcomes

Medical care has evolved over the past 100 years from an anecdotal, basic support system to the advanced technological environment we enjoy today. It remains far from perfect, however, so it’s important to improve clinical outcomes continuously as care is provided. But what are clinical outcomes and how does data enable healthcare professionals to improve these?

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The Top 6 Benefits of Analytics Automation in Healthcare

The healthcare industry wastes billions of dollars annually, with estimates ranging from $600 billion to almost $2 trillion or 53% of total expenditure. In today’s interconnected environment, automated data analysis is a powerful asset in the bid to reduce health plan costs, optimize medication adherence, and improve patient care.

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Overhead shot of the inside of a pharmacy with workers and customers.

Buy-and-Bill vs. Specialty Pharmacy: What’s the Difference?

Just like the healthcare system itself, pharmaceutical supply chains evolve, changing year over year. The buy-and-bill process of acquiring and administering drugs is no exception, as we’ve seen more challenges from this methodology than benefits as of late.

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How real-time insight into rising drug prices can lead to lower costs and better health outcomes.
Pete Tantillo

Pete Tantillo

Chief Financial Officer

Pete is an accomplished technology executive who has led many organizations through high growth and profitability stages and has worked with some of the world’s largest companies. Pete most recently completed an exit for RapidRatings, a highly successful data and information analytics company in the risk management and supply chain analytics space where he was both CFO and COO for the business. Prior to RapidRatings, Pete spent ten years working for private-equity and venture backed technology companies in both SaaS and traditional software solutions. Pete also spent 13 years at powerhouse technology company SAP where he led field services for SAP America. Pete started his career in public accounting with Arthur Andersen & Co and is a licensed CPA. He graduated with a business degree from the College of William & Mary in Virginia. 

Sahily Paoline

Chief Pharmacy Officer

Sahily is a licensed pharmacist and expert business leader with more than 20 years of experience delivering high-quality clinical care, building and leading organizations, and staffing and motivating teams in the pharmaceutical and digital health industries. Sahily specializes in Clinical Program Management, Pharmacy Practice and Operations, and building and growing business. She is passionate about the use of data and technology in patient care and believes in a holistic approach to healthcare.

Todd Rode

VP, Corporate Operations

Todd served as an Artillery officer in the U.S. Army before a disability turned his focus to the business world. He’s carried a bag, led multiple sales operations and sales development efforts, and run a sales team in complex selling environments. The son of small business owners, Todd enjoys helping business leaders grow by using proven, repeatable processes. He holds a BS from the United States Military Academy at West Point and an MBA from the Kellogg School of Management at Northwestern University. Todd lives in Nashville with his wife. He spends as much time outside as possible and co-founded a brewery in 2019.  He’d love to tell you the full story over a pint sometime.

Megan Foster headshot

Megan Foster

Manager, People Operations

Ashwin Patel

SVP, Data

Ashwin (Ash) has more than 20 years leadership experience in data warehousing and business intelligence practices within the healthcare sector. At Xevant, Ash leads the data and business intelligence teams and is responsible for future state expansion of Xevant data technology platforms and processes, partnering with the organization’s product teams to develop best-in-class products and solutions. Prior to Xevant, Ash was VP Business Intelligence for HealthSmart Benefit Solutions based in Irving, TX, a third-party administrator (TPA) of medical, pharmacy, and clinical data. Ash earned a Bachelor of Science degree in computer science and operations research from Leeds Becketts University in Leeds, England.

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Greg Abram

Chief Growth Officer

Greg is a results-driven sales professional with more than 12 years of experience in the PBM and healthcare markets. As VP of Sales, Greg leads the Xevant sales team focused on growing revenue and expanding market reach. Prior to Xevant, Greg served in multiple leadership and growth positions with Myriad Genetics, Navitus Health Solutions, Catamaran, and CVS Caremark Corporation. Greg’s passion to create long-lasting, aligned partnerships has delivered tremendous value for PBMs, health plans, large purchasing groups, and fortune 500 organizations throughout the country.
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Jaylyn Palmer

Chief of Staff

Jaylyn is a dynamic Chief of Staff who thrives on helping create workplaces that go beyond the ordinary to achieve a culture of belonging, empowerment, and improvement. Proving to be a culture ambassador, strategic advisor, and relationship builder, Jaylyn supports the organization with versatility and innovation. When she’s not wearing one of her many Xevant hats, you can find Jaylyn planning a party, attending live music and theater, or playing Dungeons and Dragons.
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Marvin Roi Elvambuena

Director, Web Development

Marvin is responsible for all aspects of software development efforts at Xevant, including architecting and managing software solutions from the ground up. He brings with him a performance history of leading loosely defined enterprise software projects in rapid changing environments. He has previously worked in several industries such as HR solutions, insurance, shared services, and payroll and holds a BS in Information Technology with specialization in Web Development.

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Jeff Weber

Chief Operating Officer

Jeff has extensive experience building and growing positive organizational culture that supports high performance, transparency, learning and growth. Jeff has implemented comprehensive talent strategy including talent acquisition, engagement, rewards, and recognition programs. Prior to Xevant, Jeff was the EVP People and Places at Instructure, a rapidly growing provider of the Canvas and Bridge learning management platforms focused on transforming online learning and employee development.Jeff also led the growth of the people function for Jeff holds an MBA with an emphasis in Organizational Behavior from Brigham Young University.

Scott Sorenson

Chief Technology Officer

Scott is an expert business leader with extensive experience scaling technology organizations. His experience includes technology leadership roles at Cedar Health Payment Solutions, Human Longevity, Inc., and 16 years at Ancestry where he was the Chief Technology Officer and played an integral role scaling the Ancestry family history business that hosts billions of historical records and serves millions of customers. He also led their technology organization as they transformed the business to include a world class consumer genomics product line. At Ancestry, Scott prepared the technology organization for an IPO and multiple PE transactions.
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Griff McGee

Corporate Controller

Griffin is CPA and finance and accounting professional with more than 10 years’ experience in public accounting, internal audit, and consulting. Throughout his career Griffin has worked with clients to solve complex problems, improve and implement new processes and achieve public company readiness. Prior to joining Xevant, Griffin served in several audit and consulting roles with Protiviti, Change Healthcare, Genesco and Decosimo, CPAs.

Daniel Telford

Director, Corporate Treasurer

Daniel is a financial professional with more than 15 years of financial and management experience. Having worked in multiple demanding roles including Business Banker, Licensed Investment Professional and Financial Center Manager, Daniel uses his experience to guide and inform his current role as Corporate Treasurer for Xevant. Daniel has led multiple complex cross-functional teams to sustained success in the financial services industry.

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Gerrit Lemmen

VP, Rebates

Gerrit is an experienced leader in the PBM, Specialty and Formulary rebate markets. As VP of Rebates at Xevant, Gerrit is responsible for managing drug rebates through Xevant’s revolutionary pharmacy benefits platform. In his previous roles at Magellan Rx Management, Gerrit led highly respected commercial rebate operations teams and focused on increasing efficiency that enabled scalability and growth.

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Mike Simmons

VP, Product Management

Mike is a true product champion & ambassador with 18+ years of experience in critical product launch, strategic branding, and delivering profitable campaigns that capture market share and create growth. His vision and skills for implementing integrated, high-impact, go-to-market strategies have proven to drive increased sales and an overall improvement of marketing programs. Mike’s ability to leverage business savvy in order to align management, data intelligence, and content management generate more informed business decisions resulting in enhanced revenue for progressive, enterprise organizations.

Laura Phillipson

VP, Client Experience

Laura Phillipson is a client management expert with experience managing client services teams. Her past roles include Sr. Client Services Executive for Navitus and over a decade of experience as a Certified Pharmacy Technician. Laura’s career in client relations spans nearly two decades. An avid sports fan, Laura excels in helping clients create a strong strategy with a competitive edge. Laura’s extensive background in both customer service and the medical field provides an ideal blend to lead client management for Xevant.

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Chad Davis

Director, Compliance

Chad is a credentialed and strategic audit and compliance professional with more than 10 years’ experience assisting companies with achieving their business objectives through adept governance, compliance, and risk management. Prior to Xevant, Chad served in several auditing and accountant roles for Protiviti, Intermountain Healthcare, and First Data Corporation. He is a credentialed CISM and CISA and holds a BS in Accounting.

Erin Glenn

Director, Data Warehouse

Erin is 20-year data warehousing and business intelligence technology leader who has conceptualized, designed, and implemented ground-breaking data-centric technology solutions. She has solved big problems, delivered operational efficiencies, and increased productivity and cost savings throughout her career by delivering enterprise class data warehouses and business intelligence solutions.  Prior to Xevant, Erin served in multiple technology leadership positions with Hampton Roads Transit, MSN, The Port of Virginia, and Innova Systems. She holds a bachelor’s degree from the University of Hawaii.

Greg Heaps

Chief Marketing Officer

Greg is an expert marketer and innovative business builder specializing in launching and building high growth companies. As a founding member and on the leadership team of multiple venture backed tech startups, Greg has extensive experience in numerous markets including software services, health and medicine, commercial real estate, and consumer focused products. His primary motivation is driving demand and growth through an omni channel, go-to-market strategy. When Greg is not neck deep building an exhilarating business, he can often be found mountain biking, fly fishing, or carving deep powder on remote mountains.

Headshot of Jace Garfield, the Chief Technology Officer.

Jace Garfield

Chief Analytics Officer

Jason (Jace) Garfield, MSW has thrived in many industries ranging from data and information technology to foster care and mental health management. In his role with the Utah State Justice Commission, he helped publish medical research on drug effectiveness. Jason’s passion for technology and data automation paved the way towards innovations in identifying new to market drugs, tracking systems to identify clinical interventions, and data automations, resulting in millions in operational cost reductions. At Xevant, Jace leads every aspect of product operations and is responsible for a diverse team of technology experts.

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Jason Hardin

Chief Revenue Officer

With 20+ years of sales and sales management experience in SaaS sales and professional services, Jason is a dynamic, performance driven leader with an exceptional record of achievement in motivating sales teams to exceed quotas, while ensuring client success.  Having led many organizations in the start-up, high growth, and emerging phases, Jason brings an entrepreneurial hunger to the sales, client success, and business development organizations with the ability to penetrate new markets, produce high growth sales results, achieve adoption and retention goals, and grow market share and revenue quickly.  

Jeff Lininger

President & COO

Jeff is the Chief Operating Officer at Xevant and is accountable for operational excellence at the company. Prior to joining Xevant, Jeff successfully applied his extensive, multidisciplinary expertise in building and scaling growth and service infrastructures within start-up, mid-market, and Fortune 500 technology and services companies. He has recruited and built new leadership and functional teams within operations, sales, marketing, product development, client success, finance, and HR. The success of these business transformations also contributed to a culture of increased accountability and empowerment, contributing to significant improvement in employee engagement and overall enhanced business performance. Jeff holds an MBA from Duke University’s Fuqua School of Business in North Carolina and a Bachelor’s Degree in Finance and Economics from Grove City College in Pennsylvania.

Headshot of Lindsay Jones, the Chief Financial Officer.

Lindsay Jones

Chief Financial Officer

Lindsay Jones, CPA, is a financial executive with experience in start-up companies & mature enterprises. He has a proven track record of helping, leading, and enhancing executive management teams. He has worked with private equity groups and private investors to identify, analyze, and close acquisitions and divestitures of companies. He has founded two startup companies, owned his own business, and closed over $500 million in private and public equity and debt financing, in his twenty-year career. 

Brandon Newman

Chief Executive Officer

Brandon has a dynamic, 25-year leadership career spearheading several businesses with emphasis on growth, revenue, and sales performance. He has run many high-growth environments, including start-ups, turnarounds, and $1B+ dollar businesses. As a serial entrepreneur, he has a proven record of founding new businesses and advancing them through growth and acquisition, merger, or roll-up including ScripPoint, Veridian, and AviaraMD. He is the driving force for vision, new market strategy, revenue growth, technology development, and partner alliances.