Our comprehensive Pharmacy Benefit Management (PBM) solution for workers’ compensation sets new standards for value and performance. We go beyond processing prescription drug transactions to aggressively manage drug utilization and control pharmacy spending. By integrating clinical expertise and advanced technological capabilities, we eliminate cost drivers while ensuring that injured workers receive quality care.
Healthesystems simplifies the complexities in pharmacy benefit management. Our unique PBM solution incorporates sophisticated clinical and financial strategies, advanced analytics, and innovative technology. Our program streamlines processes, drives network penetration and manages drug utilization and costs, regardless of the source.
We aggressively manage drug utilization and focus on the most complex cases to reduce the total cost of care and improve treatment outcomes. We stay ahead of these and other hidden cost drivers by developing strategies and tools to minimize these challenges such as:
Our Verticē web-based claims portal is an indispensable resource for claim professionals. It alerts them to claims needing close attention and provides robust reports, clinical guidance and easy-to-use tools that empower them to make informed decisions.
Our innovative PBM solution reduces the overall cost of drug therapy through: