Healthcare complexity can lead to lapses in communication that impact patient care, decrease efficiencies, and increase medical and overall program costs. But we envision a better way to manage care for injured workers.
Our pharmacy and ancillary programs provide the technological infrastructure and tools necessary to put the right information in front of the right people – whether it’s the claims professional, the healthcare provider, or the insurance plan – empowering them to make better care decisions that improve program outcomes.
When doctors face the unfamiliar complexities of workers’ comp, our specialized drug plans and physician outreach programs provide a much-needed framework to drive safer, more effective prescribing.
When pharmacists need to ensure safe drug therapy, we exchange drug data with pharmacies in real-time, allowing for timely insight into patients’ drug regimens. This prevents the dispensing of inappropriate therapies, protecting patients and avoiding wasteful spending.
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When claims professionals are faced with important care decisions, our clinically driven tools, analytics, and customized workflows support cost-effective, clinically sound decisions that benefit patients and program performance, while also saving time and resources.
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When our customers need forward-looking insights to improve program results, we utilize an expert staff of clinicians and analysts to identify current and evolving drug trends, and bring forth differentiated trend management strategies.
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360Our Rx e360 consultative service can provide you with greater visibility into activity occurring within your claims populations.
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When patients require ancillary medical services or supplies, our competitive vendor network structure helps ensure the right product or service is being provided at the right price. Our ancillary benefits management program drives transparency and clinical excellence in an area of workers’ comp traditionally fraught with fraud, waste and abuse.
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When state and federal legislators turn their eyes to workers’ compensation, we provide visibility into upcoming rule changes that may impact clients – and we efficiently and effectively implement the necessary changes into their programs.
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