Finally, a Pharmacy Benefit Model Built Around Your Plan — Not Your Vendors.
AscellaHealth enables Health Plans to take back control of their pharmacy benefits. AscellaOne, a first-of-its-kind pharmacy benefits marketplace, enables the choice, transparency, control and compliance needed to manage drug costs without sacrificing member outcomes in today’s complex healthcare environment.
You’re Accountable for Costs You Can’t See
Health plans are caught in an impossible position. Specialty drug spend is growing faster than any other cost category — accounting for nearly half of total pharmacy spend — yet most plans have limited visibility into what’s actually driving those costs. Add growing regulatory requirements under CAA 2026 and ERISA fiduciary standards, and the stakes of operating without a clear line of sight have never been higher. The legacy PBM model wasn’t designed for this environment. You need more than data. You need a partner who gives you control.
Our Services
A Modular Platform Built for Health Plan Performance
AscellaOne’s marketplace-based approach gives health plans the access and flexibility to choose best-in-class capabilities — without the rigidity of a single bundled PBM arrangement.
Specialty Drug Cost Management
Transparent, competitive pricing, and access to all therapies, including LDD and exclusive distribution drugs.
Medical Benefit Specialty Management
Infusion therapy management and site-of-care optimization for high-cost medications administered under the medical benefit
Formulary & Utilization Management
Proven strategies to manage drug portfolios and sustain long-term savings
Pharmacy & Medical Benefit Rebate Optimization
Access to aggregated purchasing power and rebate strategies that improve yield without sacrificing access
Direct-to-Patient Specialty Fulfillment
Multi-accredited national specialty pharmacy network with 100% access to specialty medications, including limited distribution drugs
Compliance & Reporting Support
Data infrastructure and reporting designed to meet CAA 2026 and fiduciary requirements
What Makes Us Different
We Are Not A PBM, But A Partner Who Gives You The Power Of One
AscellaOne was built to give health plans access to capabilities that have historically only been available to the largest national plans — without the lock-in.
A Trusted Strategic Partner
We work alongside your team to navigate regulatory change, evaluate new therapies, and continuously improve plan performance.
Modular & Configurable
Replace underperforming components without disrupting your entire benefits structure. Adapt as the market changes.
Transparency by Design
Every component is visible and measurable — so you always know what you’re paying for and why.
Integrated Data Intelligence
Real-time, self-service data across claims, pharmacy, and financial data — not quarterly summaries after decisions have already been made.
Patient-Centered Execution
Cost control and member experience aren’t in conflict. Our clinical coordination model keeps patients on therapy while managing total cost.
Ready to See What’s Possible for Your Plan?
Whether you’re looking to reduce specialty drug spend, meet new compliance requirements, or simply get better visibility into your entire pharmacy benefit economics — AscellaHealth can help you build a smarter path forward.
