Bring pharmacy and medical benefits into one clearer view
The problem with fragmented benefits
Most organizations still manage pharmacy and medical benefits through separate systems, separate partners, and separate decision paths.
That makes it harder to spot trends early, align strategy, and understand what’s really driving cost across the full member journey.
Siloed systems make it hard to see how benefits work together.
Disconnected data limits timely insight and slows action.
Unclear accountability creates gaps between strategy and execution.
Managing total cost of care gets harder when the full picture isn’t visible.
Connected Benefit Management
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A simple model
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What makes that possible
Better visibility
Better visibility into how pharmacy and medical benefits affect each other
Earlier insights
Earlier insights that help teams identify trends before they become larger
cost issues
Aligned decision-making
Aligned decision-making across finance, HR, benefits, and clinical
stakeholders
Reduced complexity
Reduced complexity through a more connected model and fewer
operational gaps
Stronger strategic oversight
Stronger strategic oversight with a clearer view of performance across
benefits
More consistent experience
A more consistent experience for the teams and members who depend on
these programs
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Trusted by organizations managing complex benefit strategies
Built for organizations that need a clearer path through benefit complexity:
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“Judi Health brings together the visibility and alignment benefit leaders have been missing.”
“The market has spent years optimizing silos. The next step is connected benefit management that gives plan sponsors a clearer path from data to action.”
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FAQ
Frequently asked questions
What is a level-funded pharmacy benefit plan?
A level-funded pharmacy benefit plan offers a defined monthly premium rate covering expected claims, admin fees, and stop-loss. There are benefits to a plan sponsor if plan performance is better than projected.
Who should choose Capital Equilibrium?
Municipalities and employers looking for a combination of cost savings, flexibility, and budgeting security.
How is Capital Equilibrium different?
Capital Equilibrium leverages the financial value offered by Capital Rx, a 100% passthrough PBM, to support this product offering.
When developing our premium requirements, we blend both manual rates and experience-based rates. Capital Rx’s historical performance across its entire book of business is also factored into the rating methodology.
How do refunds and credits work?
It depends on the performance of the plan. If your actual pharmacy costs are less than expected, you may receive a refund or rate credit.
