Managed Care Connect
The PBM space today is challenged by new and complex drug products, rising drug prices, rebate inflation, multi-tier formularies, direct to consumer drug advertising, discount pharmacy cards and copay reduction programs.
Achieving high formulary compliance, and optimal member outcomes requires a multifacited approach that involves members, providers, plans and the managed care organization.
Implementing targeted interactive voice, SMS and e-mail messaging during the various stages of a members enrollment and therapy increases operational efficiency, patient outcomes and formulary compliance.
Managed Care Connect can help you:
- Create value
- Provide market differentation
- Contain costs
- Improve member outcomes
Formulary Pull Through Support
- Reduce new client formulary disruption issues
- Increase member formulary product pull through for quarterly formulary changes
- Notify members when new therapies are introduced
- Maximize manufacturer contracts
New Implementation Support
- Welcome messages to increase PBM program awareness
- Capture member communication preference
- Reduce member and pharmacy support center call volume
Clinical Program Support
- Enhance member satisfaction through Prior Authorization status notifications
- Boost patient safety through additional medication recall messages
- Provide additional notifications regarding therapeutic interchange programs
30-day to 90-day Adherence Conversion Support
- Claim file analysis for member eligibility criteria
- Mail service pharmacy support
- 90-day at retail pharmacy support
Survey Support
- Member satisfaction outreach and reporting
- Client satisfaction outreach and reporting
- Mail and/or specialty pharmacy surveys
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Reach your customers in the manner and on the device they prefer with EnlivenHealth's automated and high-touch solutions.