Independent PBM Oversight. Reimbursement Integrity. Claims-Level Visibility.

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.

No. Stratos is not a pharmacy benefit manager. Stratos provides independent reimbursement oversight and claims-level analysis. It 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.

No. Stratos does not negotiate contracts on a client’s behalf. Stratos focuses on independent reimbursement visibility, claims-level analysis, PBM oversight and profitability intelligence.

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.

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.

Stratos helps private sector organizations, including self-insured employers, commercial health plans and Medicaid organizations, gain visibility into PBM performance, spread pricing, rebate validation, claims transparency and plan cost management through independent, claims-level analysis.

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.

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.