Innovative programs designed to tackle today’s payor challenges

We understand that payors are faced with increasing pressure to control and lower plan costs without sacrificing quality of care. Our pharmacy care management focuses on achieving the highest clinical value and lowest net cost.

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Cost Management

Reducing drug spend and the cost of care

We utilize our expertise, competitive intelligence, and spend management strategies to design solutions that help reduce drug spend across your pharmacy and medical benefits – including the highest trending specialty drug categories.
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Health Plan Client Engagement

The health plan market is a rapidly changing environment. For those health plans that offer government programs, such as Medicare and Medicaid, this also requires a great deal of expertise on the intricacies of regulatory and compliance operations.
Member populations with complex and unique needs are growing. Our services targeted to members across all stages of care are needed now more than ever.
Specialty Management

Managing costs and care in the fastest-growing pharmacy segment

Utilization of high-cost specialty pharmaceuticals continues to grow, increasing the management challenge for both payors and patients. Our comprehensive solutions help address spend across the pharmacy and medical benefit, and improve patient experience and outcomes.
Care Management

Condition-specific, member-centric management to reduce costs, improve outcomes

Help to improve outcomes and reduce overall cost of care with condition-specific management programs.
Member Engagement

Seamless transitions for a better member experience

Benefit changes can be a critical period for a plan and potentially disruptive to some members. We recognize that every member’s journey is unique and we need to provide the right support to help ensure a smooth transition.
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