HealthPlan Data Solutions Rebrands as Rivera, Unveiling a Bold New Era of PBM Oversight

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COLUMBUS, Ohio--(BUSINESS WIRE)--Nov 10, 2025--

HealthPlan Data Solutions (HDS), the nation’s leader in pharmacy payment integrity, today announced its rebrand to Rivera, marking a major milestone in the company’s evolution and signaling a new chapter of growth and innovation in PBM oversight.

The new brand aligns identity with substance. Rivera reflects the company’s long-standing commitment to helping payers achieve clarity, control, and measurable savings through continuous, independent oversight. With more than 700 proprietary algorithms and 100% of clients recovering their investment in the first year of the contract, Rivera delivers the performance and accountability the industry has long needed.

“This rebrand isn’t about changing who we are, it’s about fully owning what we’ve built,” said Ron Hamm, Chief Executive Officer of Rivera. “Rivera embodies the clarity, confidence, and forward movement that has defined our work from the beginning. We’ve set the standard for PBM oversight, and this moment gives that leadership the name and voice it deserves.”

Why now

The rebrand comes at a defining moment for the industry. PBMs are facing unprecedented scrutiny from regulators and payers, while health plans and employers are under increasing pressure to demonstrate value, reduce waste, and improve transparency. The market is demanding solutions that go deeper than audits and move faster than traditional reviews, and Rivera is uniquely positioned to deliver them.

For Rivera, the timing reflects both momentum and market alignment. The company has expanded rapidly across health plans, employers, and channel partners, earned national recognition for measurable client savings, and continued to advance its technology and analytics capabilities. This change aligns Rivera’s identity with its leadership position and the growing demand for continuous, independent PBM oversight.

“Rebranding now is about scale and signal,” said Jess Fogal, Vice President of Marketing at Rivera. “Our impact, technology, and reach have grown dramatically, and Rivera gives us a brand that reflects that. It captures the sophistication of our platform, the expertise of our people, and the clarity we bring to every payer we partner with. We’re not becoming something new; we’re amplifying what’s always set us apart.”

Creating the future of PBM oversight

Rivera is creating the future of PBM oversight by bringing continuous monitoring, advanced analytics, and clinical expertise together into one intelligent system. Its technology reviews millions of pharmacy claims post-adjudication, uncovering pricing discrepancies, configuration errors, and benefit design gaps that traditional audits miss. Each finding represents more than a data point — it’s a recovered dollar and a systemic correction that strengthens payer oversight long term.

By helping clients recover misplaced funds, address underlying issues, and prevent recurrence, Rivera enables payers to operate with confidence and clarity. The result is a smarter, more aligned pharmacy benefit program that delivers measurable savings and sustained integrity across every PBM relationship.

“The industry doesn’t need another PBM audit tool,” said Michael Blevins, Co-founder and Chief Information Officer at Rivera. “It needs a living system of oversight. Rivera gives payers visibility, precision, and control not months after the fact but continuously. That’s how you create lasting alignment and measurable impact.”

About Rivera

Rivera is the leader in pharmacy payment integrity, giving health plans and employers clarity and control over their pharmacy benefits through continuous, independent PBM oversight. Built by industry and clinical experts, Rivera’s platform combines advanced analytics, proprietary algorithms, and expert guidance to help payers identify hidden waste, strengthen PBM alignment, and ensure every pharmacy dollar is spent with integrity.

View source version on businesswire.com:https://www.businesswire.com/news/home/20251110431329/en/

CONTACT: Media Contact:

Jess Fogal

Vice President, Marketing

[email protected]

www.riverarx.com

KEYWORD: OHIO UNITED STATES NORTH AMERICA

INDUSTRY KEYWORD: TECHNOLOGY PAYMENTS CONSULTING PROFESSIONAL SERVICES SOFTWARE HEALTH PHARMACEUTICAL GENERAL HEALTH DATA MANAGEMENT

SOURCE: HealthPlan Data Solutions

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PUB: 11/10/2025 10:00 AM/DISC: 11/10/2025 10:01 AM

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