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.
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.
Personalized support for positive behavior change
Our connected systems and multiple touch points enable highly effective member support. We counsel members when they are already thinking about their health to help them stay on track with prescribed therapies and achieve better outcomes.
Effectively manage government programs
From a regional health plan with a focus on Medicaid populations to large, national health plans with multiple lines of government business, our integrated model, investments in technology, and real-time data sharing enable us to offer a tailored approach to help meet each client’s unique needs.
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.
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.
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.
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.