Serious support for cost-effective care

As a payor, your key objective is to provide appropriate, timely, and cost-effective care. The provision of medical benefits using prior authorizations, and specific pharmacy benefits strategies like step therapy, split-fills, and quantity limits are common ways of achieving that objective. Our highly trained staff assists you in meeting those goals by: 

Benefits Monitoring.

We manage the tracking and resolution of benefits issues/questions while communicating with providers and patients to provide excellent care.

Patient Management.

We provide real-time clinical patient management, including documenting clinical data (such as side effects, effectiveness, and/or outcomes) in the patient record, to guide care discussions between the clinician and patient.

Continuous Improvement.

We monitor and adjust our strategies based on client satisfaction measures obtained by soliciting continuous feedback from providers and patients about performance.