Case Study: Prime Therapeutics achieves $60 Million in Savings with i-Sight

Prime Therapeutics on Track to Save its Clients an Extra $60 Million by End of 2020 Using i-Sight

Prime Therapeutics, a pharmacy benefit manager serving millions of members, needed a better way to manage fraud, waste and abuse investigations. Its existing shared-drive and spreadsheet-based process made it hard to track cases, share information, maintain oversight, and support compliance, so the team turned to i-Sight case management software.

i-Sight implemented a secure, configurable health care fraud case management solution integrated with SAS analytics, centralizing all tasks, documents, and case history in one system. The result was smoother analyst-to-investigator workflow, better visibility and reporting, stronger case linking, and faster onboarding—helping Prime’s FWA team do twice as much work, achieve a 20 to 25% efficiency gain, and stay on track to save clients an extra $60 million by the end of 2020.

Prime Therapeutics

Jo-Ellen Abou Nader

Vice President of Fraud, Waste and Abuse and Supply Chain Optimization