Welcome to the Judi Health Partner Summit
Ushering in a new era of healthcare.
AJ Loiacono
Co-Founder & CEO
Ryan Kelly
Co-Founder & CTO
2026 Agenda
The agenda is subject to change.
The market's adoption of transparent PBM solutions is accelerating.

America’s Largest Employers, Unions, and Leading Health Systems Evolve Their Benefits Strategies
The surge in demand reflects the increasing recognition that transparent PBM models paired with enterprise health technology can reduce complexity, improve member experience, and deliver meaningful cost management.
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Business Trends Report
Delivering quality care and support across the healthcare ecosystem.
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Total Clients
Total Plan Designs Created for the 2026 Benefit Year

Implementation Success
Lives Added to our Unified Claims Processing Platform
Client Count By Sector
With over half of our portfolio in the Employer segment and strong representation across Public Sector, Labor, Health Systems, and TPAs, our balanced Book of Business demonstrates both stability and mass‑market appeal. Clients consistently choose our transparent Single-Ledger Model™, industry‑leading service, and unified claim platform, Judi, for it unmatched accuracy, efficiency, and clinically optimized decision‑making.
Capital Rx Book of Business: 2025 Adjusted Claims and Gross Spend*
With a specialty utilization rate of just 0.8% — an industry‑leading benchmark — our Book of Business demonstrates the impact of strong clinical alignment and success guiding members to lower-cost, clinically appropriate medications.
*Adjusted claim counts and gross spend exclude the following categories: over‑the‑counter (OTC) claims; coordination of benefits (COB) and other secondary‑payer claims where Capital Rx is not the primary payer; direct member reimbursement (DMR) “paper” claims; compound medications; vaccines; and COVID‑related products and test kits.
Setting a Platinum Standard for Member and Client Service in 2025
Our Account Management and Customer Care teams have been able to consistently rise to the challenge of delivering exceptional care to a rapidly growing population of plan members.
1,100,000+
87

26s
Average Speed of Answer (ASA)
97%
First Call Resolution (FCR)

98%
Customer Satisfaction (CSAT)

86
Client NPS

98%
Customer Retention
Top Drugs Driving Net Cost Changes Year Over Year
Top inflation drivers were led by Zepbound, Humira 2‑pen, Xdemvy, and Cosentyx and reflect rising demand for metabolic therapies, new specialty entrants, and shifting immunology markets.
Deflation was primarily driven by Humira, Stelara, Eliquis, and GLP‑1 competitors, influenced by biosimilar pressure, improved contracting, and formulary optimization.
Together, these trends highlight how competitive supply chain dynamics and formulary alignment shape PMPM performance across key therapeutic classes.
*Top drivers of inflation are drugs with the largest increase in net cost PMPM from 2023 to 2025
*Top drivers of inflation are drugs with the largest increase in net cost PMPM from 2023 to 2025
A Picture of NADAC Deflation is Worth 1,000 Words
Generic drug prices have steadily declined, dropping 38% from 2020 to 2025. On the other hand, AWP has stagnated. This growing divide shows how NADAC‑based pricing helps capture real market value and deliver reliable savings on many everyday medications.
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Utilization Impact Report: A 19% Savings Opportunity
Representative sample of 145 clients (1.4M lives) that moved to Capital Rx in 2024 and 2025.
Formulary Shift: Transition of patients from non-formulary products to formulary products with lower net cost.
Prior Authorization: Clinically appropriate PA protocols for biologics, GLPs, Migraines Androgens, Anabolic & Retinoids.
Quantity Utilization Management & Refill-Too-Soon: Claims identified in the client's data where dispensed quantities exceed UM protocols.
Copay Maximizer: Optimization of cost share to leverage available specialty and retail copay card or coupon savings.
% of Impacted Members
Year 1 Total % Savings
Clinical Success Stories
A History of Innovation
To improve how benefits work behind the scenes - operating efficiency and administrative workflows - we developed our own technology: an open, secure, scalable, and easy-to-use enterprise health platform, Judi®. The rest is history.
Thank you for joining us at the Judi Heath 2026 Annual Summit
Tackling the most challenging problems in healthcare requires collaboration at every level and across the continuum of health benefits. We are glad you’re on this journey with us.






















