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MedImpact is an independent pharmacy benefit manager (PBM) serving health plans, self-funded employers, and government entities. It designs and administers prescription drug benefits to lower costs and improve member health, including core PBM services, clinical programs, and specialty drug management. It operates at a large scale with transparency and flexible pricing, negotiating rebates and processing claims for clients. Its goal is to reduce prescription drug costs while improving health outcomes through data-driven, end-to-end benefit management.
Industries
Data & Analytics
Healthcare
Company Size
1,001-5,000
Company Stage
Seed
Total Funding
$2.8M
Headquarters
San Diego, California
Founded
1989
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Total Funding
$2.8M
Below
Industry Average
Funded Over
2 Rounds
Industry standards
Health Insurance
Dental Insurance
Vision Insurance
Wellness Program
Unlimited Paid Time Off
Paid Vacation
401(k) Company Match
Life Insurance
Disability Insurance
Tuition Reimbursement
Employee Referral Bonus
Nine pharmacy benefit managers will integrate TrumpRx prescription drug pricing into their benefit tools, effective 1 January 2027. The Pharmaceutical Care Management Association and participating PBMs—including CVS Health, Express Scripts, Humana, and OptumRx—will display cash prices from TrumpRx alongside plan coverage costs. The agreement covers commercial, Medicare, and Medicaid plans. Patients will see TrumpRx prices for all listed drugs, whether through presidential deals or standard pricing. CMS Administrator Dr Mehmet Oz said the commitment will help patients compare prices and find better deals. PCMA CEO David Marin stated the transparency will allow consumers to make better-informed choices about prescription drug costs. Some PBMs will use Real Time Benefit Tools to display pricing comparisons, whilst others may employ different methods.
MedImpact to present on optimizing pharmacy benefits at MACo Summer Conference. The Maryland Association of Counties announced on July 16 that MedImpact will host a session titled "Optimizing Pharmacy Benefits for Counties" during the Solutions Showcase at its 2026 Summer Conference. The event is scheduled to take place at the Roland Powell Convention Center in Ocean City, Maryland, from August 12 to August 15. According to the announcement, MedImpact's session will address strategies for making pharmacy benefits easier to understand and more cost effective for counties. The session description states, "For most employer-sponsored health insurance plans, pharmacy benefits are the most frequently used and challenging. MedImpact seeks to make these benefits easy to understand and cost effective." It also notes that while pharmacy benefit managers are under scrutiny from mandates affecting Maryland pharmacies and retailers, there may be opportunities within the State of Maryland's current employee benefits contract that could benefit county governments. The Solutions Showcase session is set for August 14 from 12:15 p.m. to 12:45 p.m. Organizers encourage attendees to register for the conference in order to participate in this and other sessions. MACo's Summer Conference theme this year is "Build What's Next." Additional information about registration pricing, sponsorship opportunities, exhibitor details, hotel rates, and related activities such as a golf tournament can be found through MACo's official channels. Questions regarding the event can be directed to Virginia White.
MedImpact, the largest independent pharmacy benefits company in the US, has launched two solutions to manage rising GLP-1 medication costs whilst improving patient access: GLP-1 Benefit 360 and GLP-1 Direct Fund. GLP-1 Benefit 360 offers capped pricing for plans and members, integrated lifestyle support through the MedEmpower Fuel mobile app, and access to registered dietitians. The solution addresses the issue that over half of patients discontinue GLP-1 therapy within three months by providing personalised coaching at no additional cost. The GLP-1 Direct Fund allows healthcare payers to contribute set amounts toward direct-to-consumer pricing, offering members lower out-of-pocket costs whilst protecting plans from unpredictable cost increases. Both solutions bypass traditional high-cost pharmacy models to provide predictable pricing and clinical support.
SRS Benefit Partners and MSL Captive Solutions provide alternative risk financing solutions that protect employers from sky-high administrative fees and renewals
MedImpact acquires MSL Captive Solutions and SRS Benefit Partners from SRS. Acquisition of the two brands focused on medical stop-loss captive solutions by MedImpact Holdings extends its portfolio of care and coverage solutions MHW Benefit Partners (formerly SRS Benefit Partners) and MSL Captive Solutions have both been acquired by MedImpact Holdings Inc. Both businesses were previously owned by Strategic Risk Solutions. MedImpact is one of the US' largest independent health solutions and pharmacy benefit companies. MHW Benefit Partners helps small and mid-sized businesses, working independently or in groups, form, grow, and evolve captives, consortiums, and other employee benefit programmes. MSL Captive Solutions provides medical stop-loss insurance to protect self-insured employers from potentially catastrophic healthcare claims. Partnering with A-rated insurance companies, it underwrites individual employer stop-loss and captive programmes. Announcing the deals, MedImpact stated they expand its portfolio of care and coverage solutions, "providing employers with modular, cost-effective alternatives to traditional insurance carriers." "By integrating specialised risk management and alternative financing, MedImpact offers small and mid-sized businesses the transparency, flexibility, and cost control typically reserved for large, self-insured corporations," the company said. The two companies join MG Insurance as MedImpact's main risk management and underwriting brands, providing captive programmes and stop-loss protections. "Small and mid-sized businesses today struggle to manage runaway healthcare costs with the inflexible and opaque traditional insurance programmes," said Zach Johnson, MedImpact executive vice president. "We are putting power back in the hands of employers by giving them innovative alternatives, transparency, flexibility, and total control."
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Industries
Data & Analytics
Healthcare
Company Size
1,001-5,000
Company Stage
Seed
Total Funding
$2.8M
Headquarters
San Diego, California
Founded
1989
Find jobs on Simplify and start your career today