Proven Impact: The Albany County Case Study
You don't have to take our word for it. The real-world impact of the HISI and CEA alignment is clearly demonstrated in Albany County, New York.
By partnering with HISI to oversee its benefits and combat pharmacy overcharging, Albany County has achieved historic sustainable cost containment over the past five years:
Prescription & Specialty Drug Savings
Medical Benefit Savings
Impact on Costs
Smarter Healthcare & Pharmacy Benefits for America’s Counties
Health Insurance Solutions, Inc. (HISI) is proud to serve as a vetted vendor and preferred partner of the County Executives of America (CEA). Headquartered in Telford, Pennsylvania, and led by President Nanette Poserina, HISI has delivered innovative, data-driven cost-saving strategies for more than 25 years.
While HISI initially specialized in pharmacy benefit management to target the fastest-growing areas of healthcare spend, they have expanded their expertise to encompass the full employee benefit package. Through this comprehensive approach, HISI provides high-performing health plans that drastically reduce costs for counties while maintaining—and often enhancing—the quality of employee care.
The Power of Partnership: CEA Member Benefits
One of the most valuable benefits of your CEA membership is access to HISI’s public-sector healthcare and pharmacy consulting services. This comprehensive evaluation and strategy service is provided at no cost to participating counties.
HISI takes a performance-oriented approach, meaning their interests remain completely tied to the actual success and savings achieved for your county. They help public entities evaluate, negotiate, manage, and monitor self-funded programs to protect both taxpayer resources and organizational budgets.
Combating Rising Costs Through Pharmacy & Medical Oversight
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Full Benefit Packages: Data-driven strategies designed to turn complex healthcare challenges into strategic structural advantages.
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Specialty Drug Cost Oversight: Targeting and controlling the inflated costs of specialty medications.
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Zero Member Disruption: Ensuring employees maintain access to their existing medications with no forced switches.
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Clinical Customization: Implementing clinical programs tailored specifically to each county's unique employer needs.
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Eliminating Member Out-of-Pocket Costs: Structuring programs so members can receive necessary, life-saving medications at zero out-of-pocket cost.
Drug Overcharging
Health Insurance Solutions (HISI) is proud to support the dedicated County Executives who are part of the County Executives of America (CEA) leaders committed to advancing the health and well-being of their communities. As a vetted vendor and preferred CEA partner, HISI provides expert healthcare and pharmacy consulting services, including the development of high-performing health plans and comprehensive pharmacy program management with a focus on specialty drug cost oversight. With a strong record of delivering meaningful savings and sustainable strategies, HISI is a trusted ally to counties nationwide.
Benefits of membership - Albany County Pharmacy Case Study, Medical Case Study
Combating Drug Overcharging Through Pharmacy Cost Containment
One of the many valuable benefits of County Executives of America (CEA) membership is access to pharmacy cost containment solutions. Through a strategic partnership with Health Insurance Solutions, Inc. (HISI)—a proven Pharmacy Benefits Administrator (PBA)—CEA helps counties evaluate, negotiate, manage, and monitor their self-funded pharmacy benefit programs, with a strong focus on reducing the inflated costs of specialty medications.
This service is provided at no cost to participating counties.
For example, Albany County, NY, has saved more than $17.2 million by partnering with HISI to oversee its pharmacy benefits. The core objectives of the program include:
- Delivering best-in-class service with zero disruption to members
- Maintaining access to existing medications—no forced switches
- Targeting and controlling specialty drug spending
- Eliminating cost-sharing for members
- Reducing overall specialty drug costs for employers
- Ensuring members receive necessary medications at no out-of-pocket cost
- Implementing custom clinical programs tailored to each employer’s needs
This solution empowers counties to protect both their budgets and their employees—ensuring access to life-saving medications without excessive costs.
Healthcare Solution for Counties
The County Executives of America (CEA), in partnership with HISI Health Solutions LLC, offers counties a comprehensive, cost-saving healthcare solution. At no cost to your county, HISI evaluates, negotiates, and manages self-funded health programs—focusing on proven strategies to drive down costs while improving care quality. Through this innovative model, counties like Albany, NY, have saved over $1.4ml first year. The program incorporates key components such as managing high-cost medical specialties and outlier patients, medical pricing, third-party administration, and payment integrity. It also deploys effective strategies including Centers of Excellence networks, reference-based pricing, out-of-network claims settlement, and the unbundling of self-insured plans. Every component and strategy have demonstrated the ability to reduce total healthcare spending, lower employees’ out-of-pocket costs, and enhance the quality of care—all while ensuring access to services with no disruption and little or no member cost-sharing.