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Pharmacy’s unique ability to improve total health plan performance
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Almost every consumer at some point over the year uses their pharmacy benefit, many of whom use it monthly. In aggregate, pharmacy claims volume exceed physician office visits by 500%. Thus, the pharmacy benefit is arguably the most visible component of health insurance. Such high-volumes, and high-costs, can create great challenges for plans, even when third-party PBMs are employed. However, these frequent touch points also create great opportunities to differentiate in the market when properly leveraged.
With RxEOB plans can transform
their pharmacy benefit strategy,
making it a lynchpin in overall
plan growth.
Today there is a new opportunity to:
• Partner with your
consumers and your providers to
decrease overall drug costs,
including plan-paid and
out-of-pocket expenses
• Increase overall member and
employer satisfaction; making
the drug benefit a visible
selling point to consumers and
employers
• Improve how
consumers perceive your
web-presence, by providing a
personalized, programmatic,
money-saving set of online
experiences
• Reduce the
administrative costs of managing
the pharmacy benefit and
pharmacy data, in part by
driving consumer online
self-service
• Raise
efficacy while reducing costs of
existing clinical programs,
including case & disease
management, wellness, incentives
& rewards, P4P, and
value-based-benefit initiatives
• Arm all constituents
within your organization with
useful, actionable, real-time
pharmacy data to improve a
variety of internal workflows
• Simplify the introduction of
new pharmacy and medical
programs-- turn pharmacy data
into an enabler, not a barrier
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Provide ongoing automated oversight in the complex and costly world of pharmacy data
Pharmacy data is timely, clean, and very frequent. When combined with the right technology, it becomes the one of the most actionable, lowest-cost means to improve medical and administrative loss ratios while growing market share
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