Independent PBM Oversight.
Reimbursement Integrity.
Claims-Level Visibility.
Stratos Insights helps public sector stakeholders, private sector health plan sponsors, and pharmacy organizations gain independent visibility into PBM activity, reimbursement behavior, and claims-level economics. Through PBM Oversight, ScriptWise, and Buyside Solutions, we turn complex claims and reimbursement data into clear, defensible insight that supports financial accountability, profitability visibility, and better long-term decisions.
Independent
No stake in the reimbursement being reviewed
Claims-Level
Analysis down to the individual claim
Defensible
Governance-grade, audit-ready reporting
Stratos analyzes claims and reimbursement data at the source, so the insight holds up to scrutiny.
One Discipline. Three Audiences.
Reimbursement and PBM activity affect public budgets, private health plans, and pharmacy margins in different ways. Stratos brings the same independent, claims-level discipline to all three.
Public Sector
Independent Visibility for Public Accountability
For AG offices, OIGs, insurance commissioners, state associations, and public employee health plans.
Stratos supports independent visibility into PBM behavior, below-cost claims, reimbursement integrity, and the stewardship of government budgets and taxpayer dollars.
Learn More About Public Sector OversightPrivate Sector
Clarity for Employers, Health Plans, and Payers
For self-insured employers, commercial health plans, Medicare Part D organizations, and Medicaid MCOs.
Stratos helps organizations evaluate claims activity, PBM performance, spread pricing exposure, rebate validation, and overall plan cost visibility.
Learn More About Private Sector OversightPharmacy Organizations
True Profitability at the Claim Level
For multi-location pharmacy groups, GPOs, warehouse environments, and reimbursement-focused operators.
Stratos helps pharmacy organizations understand true profitability, payer performance, reimbursement trends, and margin opportunities through prioritized, claims-level insight.
Explore Pharmacy Profitability SolutionsVisibility Is Not the Same as Accountability.
A PBM report may show selected performance measures. Independent oversight tests something different: whether reimbursement behavior, claims activity, and financial outcomes actually align with expectations. That distinction is where accountability begins.
See How Oversight Works- PBM reporting and reimbursement behavior
- Spread pricing and rebate integrity
- Payer and warehouse performance
- Gross margin performance
- Below-cost claims
- Reimbursement trend visibility
Solutions Built for Oversight and Profitability Visibility.
PBM Oversight & Reimbursement Integrity
Independent, claims-level analysis designed to help organizations validate reimbursement behavior, identify financial leakage, and support financial accountability.
ScriptWise
An actionable analytics platform that delivers dynamic profitability visibility and Top 10 prioritized opportunities across key pharmacy performance categories.
Buyside Solutions
Operational and procurement-focused services that support payer profitability analysis, warehouse optimization, PBM performance visibility, and pharmacy performance analytics.
Built on Pharmacy Economics, Claims Knowledge, and Secure Data Handling.
Stratos brings together operational experience across pharmacy, claims, reimbursement, PBM visibility, and data analysis. Our approach is independent, claims-level, reimbursement-focused, operationally grounded, and built for secure analysis inside a SOC 2 Type 2 environment.
Answers About Independent PBM Oversight.
What is Stratos Insights, and what does Stratos do?
Stratos Insights is an independent reimbursement oversight and analytics firm that provides PBM oversight, reimbursement integrity, and claims-level visibility. Stratos serves public sector stakeholders, private sector health plan sponsors, and pharmacy organizations, turning complex claims and reimbursement data into clear, defensible insight that supports financial accountability and profitability visibility. Stratos Insights is part of the PPOK family of pharmacy companies.
Is Stratos a PBM?
No. Stratos is not a pharmacy benefit manager. Stratos provides independent reimbursement oversight and claims-level analysis. Stratos helps organizations better understand PBM reporting, reimbursement behavior, and financial outcomes, but it does not administer pharmacy benefits, process claims as a PBM, or manage formularies.
Does Stratos provide contract negotiation services?
No. Stratos does not position itself as a contract negotiation service and does not negotiate contracts on a client's behalf. Stratos focuses on independent reimbursement visibility, claims-level analysis, PBM oversight, and profitability intelligence.
How does Stratos support reimbursement visibility?
Stratos analyzes claims activity, reimbursement behavior, payer performance, and cost data to help organizations understand financial performance at a more granular level. This claims-level approach reveals patterns, such as below-cost claims, spread pricing exposure, and reimbursement trends, that summary reports typically do not surface.
How does Stratos support public sector stakeholders?
Stratos helps public sector stakeholders, including attorney general offices, offices of inspector general, insurance commissioners, state associations, and public employee health plans, evaluate reimbursement integrity, below-cost claims, PBM reporting patterns, and financial accountability tied to government budgets and taxpayer dollars. Stratos provides an independent fact base rather than PBM-supplied summaries.
How does Stratos support employers and health plans?
Stratos helps private sector organizations, including self-insured employers, commercial health plans, Medicare Part D organizations, and Medicaid MCOs, gain visibility into PBM performance, spread pricing, rebate validation, claims transparency, and plan cost management through independent, claims-level analysis.
How does Stratos help pharmacy organizations improve profitability?
Stratos helps multi-location pharmacy groups, GPOs, and warehouse operators understand true profitability at the claim level. Through its ScriptWise platform, Stratos surfaces payer performance, reimbursement trends, margin leakage, and a Top 10 list of prioritized profitability opportunities.
How does Stratos protect claims and reimbursement data?
Stratos handles claims and reimbursement data inside a SOC 2 Type 2 environment, with security controls built for sensitive healthcare and financial information. Data is used solely for independent analysis on behalf of the client organization, so the resulting insight is both defensible and responsibly managed.
Ready to See What Your Claims Data Is Actually Telling You?
Start with an independent, claims-level look at reimbursement performance, in clear, defensible terms your team can act on.