Improve the Member Experience.

Whether members are at the pharmacy or on the phone with customer service, the healthcare experience just got better. Shorter wait times. Faster answers. Higher satisfaction.

  • Member engagement and adherence programs
  • Required and supplemental member communications
  • Retail, mail order, and specialty pharmacy networks
  • Discount, loyalty and patient assistance programs
  • High touch customer service

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Work Smarter.

We built our platform, Darwin, from the ground up to be efficient and intuitive. Change benefit designs on the fly, answer questions — from members and management — quickly and accurately, access analytics that mean something. Our customer retention rates are unheard of in the industry, and technology that dramatically improves workflow is part of the reason why.

  • Benefit design, eligibility, and formulary management through a next-generation platform and interface
  • Advanced analytics, reporting, and predictive modeling

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Improve the Health of Your Members.

Just like our technology platform, our five-star clinical programs are at the cutting edge, including:

  • Medication therapy management
  • Utilization management programs
  • Disease management programs for complex and costly conditions such as Hepatitis C
  • Medication adherence programs

We have also developed a first-of-its-kind partnership with pharmaceutical manufacturers that ensures financial accountability for the costs associated with medications that are not effective or result in adverse reactions.
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Save money.

Through a combination of aggressive pharmacy network design, the right formulary and clinical programs, rebates, and competitive admin fees, we help payers minimize costs while maximizing the health and healthcare experience for members. We also offer:

  • Advanced analytics, audits, and reporting
  • Benefit quality assurance
  • Drug utilization reviews

And other services to reduce spending while improving outcomes and the member experience.

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