Complete Care includes integrated pharmacy benefit product powered by licensed PBM passing all drug discounts and rebates directly to employers.
- Alternative health plan unveils Complete Care to give businesses a clear view of their healthcare claims and pharmacy costs
- Complete Care includes an integrated pharmacy benefit product powered by a licensed PBM, passing all drug discounts and rebates directly to employers
- New product is projected to save employers as much as 30% by empowering them to understand full scope of charges and lower expenses
PHILADELPHIA (July 30, 2025) – With rising healthcare costs and pharmacy benefit manager (PBM) practices at the forefront of national conversation, Imagine360, a leading alternative health plan for self-funded employers, has launched Complete Care to provide employers with full transparency into their healthcare claims and pharmacy costs. The new product offers businesses direct contracts with high-quality health systems and providers, reference-based pricing, financial support, a fully transparent PBM*, third-party administrative services, and enhanced protection through stop-loss insurance.
“Imagine paying for groceries every day but not seeing itemized prices or receipts until after the fact. This is how most employers have to manage two of their biggest benefits-related expenses: medical claims and pharmacy costs,” stated Jeff Bak, President and CEO of Imagine360. “Complete Care sets a new industry standard, providing businesses with a comprehensive view of their healthcare spending. It empowers employers to better understand what they’re being charged and identify opportunities to lower their expenses with the potential to save millions of dollars that can be reinvested in their workforce.”
Complete Care further expands Imagine360’s offerings with Imagine360Rx, an integrated and transparent pharmacy solution designed to maximize cost savings and improve the member experience. Imagine360Rx ensures that 100% of drug discounts and rebates go directly to employers, delivering additional savings through proactive clinical drug management and alternative sourcing. Additionally, Complete Care members can access seamless support for both medical and pharmacy inquiries through a single service portal and phone number.
Cost Savings Opportunity
A recent actuarial report found that Imagine360 reduces employers’ healthcare costs by approximately 20% compared to commercial health plans, excluding pharmacy costs. With the introduction of Complete Care, the company projects that employers can achieve an additional 5% to 10% in savings, resulting in a total reduction of 25% to 30% in overall healthcare expenses.
“Pharmacy costs continue to rise at an unsustainable pace, leaving many employers in the dark about how their dollars are spent,” said Ron Theriault, OneDigital Senior Benefits Consultant and Principal. “At OneDigital, we’re focused on uncovering smarter, more transparent solutions that restore clarity and control. As part of Imagine360’s integrated health plan, Imagine360Rx goes beyond cost-cutting. It actively strengthens plan integrity, improves compliance, and puts employee health front and center.”
Industry Data Reveals Movement to Transparency
According to the Business Group on Health, employer spending on pharmaceuticals surged in 2023, accounting for over a quarter of total healthcare costs, up from 21% in 2021. Three out of four employers expressed deep concern about rising pharmacy expenses, while only 1% believed the current market is competitive enough to ensure affordability. Despite employers covering a growing share of prescription drug costs, nearly half of American adults remain concerned about affording medications for their families, according to the Kaiser Family Foundation. In response, 28% of employers polled by the Business Group on Health have already adopted transparent pharmacy benefit managers (PBMs), and another 40% are considering doing so within the next two years to better manage and reduce pharmacy-related spending.
Transparency Enhances Compliance and Savings
Select PBMs have attracted federal and state scrutiny regarding their pricing structures and transparency related to plan costs. This has resulted in lawsuits against plan sponsors alleging mismanagement of health benefit plan funds and violation of a federal law intended to protect the plan’s members.
Complete Care enhances compliance through fair and transparent pricing practices while also delivering significant savings. For example, Wells Fargo employees sued their employer for paying nearly $70,000 for bexarotene, a skin cancer medication that could have been bought for $3,750 in cash. By engaging a product like Imagine360Rx that eliminates all fees, ensures 100% of rebates are passed through, and pursues alternative sourcing options, employers would only pay $1,210 for this bexarotene need.
About Imagine360
Imagine360 is an integrated health plan addressing some of the greatest challenges on behalf of self-funded employers: healthcare costs are harming the bottom line, increasingly unaffordable for employees, and the experience remains poor. Imagine360’s innovative payment model includes preferential contracting with providers and health systems, and additional price protection through reference-based pricing, saving employers 15-30% on average compared to the national carriers. With more than 17 years’ experience, Imagine360 offers care coordination and medical management to proactively guide members through the complexities of healthcare. Learn more at www.imagine360.com and connect with us on LinkedIn.
* Imagine360Rx is a pharmacy solution powered by a licensed PBM
