Improving Access and
Controlling Costs
Digital Experience Platform
Built specifically for health organizations to empower member self-service of their medical and pharmacy benefits and facilitate member communications.
Prior Authorization (PA)/Electronic Prior Authorization (ePA)
Flexible options supporting all channels of prior authorization including a self-service solution with clinical support, or an extended-service solution including coverage determination, member and physician communications and outcomes reporting. Our ePA solution automates PA criteria and formulary requirements at the point of care, eliminating manual effort for providers and significantly reducing turnaround time to minutes-hours.
Co-Pay Assistance and Drug Discount Card Administration
Administration of prescription product manufacturer copay cards and drug discount card programs to reduce out-of-pocket prescription costs for members, win new customers and build loyalty.
Provider Analytics and Value-based Payment
Real-time value-based analytics at the point of care, automated provider pricing for complex pricing arrangements and provider report cards align providers and payers working in concert to improve patient outcomes, value-based performance and shared savings.
Featured Resources
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