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Benefits Management Plus

Benefits Management+

With our suite of pharmacy and medical benefits management solutions, we’re reimagining the pharmaceutical value chain to drive greater affordability and access to life-changing treatments. Our offerings leverage data insights to create tailored solutions and tackle rising costs for all.

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Pharmacy Benefits Management

Prescription medication remains the single most-used benefit and the most high-touch, real-time aspect of health care. That’s why health plans, employers, and other organizations rely on our Pharmacy Benefits Management (PBM) services, as we provide:

  • Decades of drug trend management
  • Formulary and supply chain excellence
  • Revolutionary care value programs

By delivering smarter solutions to clients and their members, our PBM provides better care at lower cost.
 

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Medical Benefits Management

Our eviCore solution drives value through evidence-based clinical guidelines, in-house clinical expertise, and advanced technologies to enhance medical benefits management. For example, we can help providers select diagnostic tests based on clinical effectiveness and cost, or choose a clinical care pathway that is evidence-based and effective. We can also help direct members to the provider with the right expertise.  

With Care Continuum®, we help manage specialty drug bills, helping clients and their patients reduce wasteful spending.
 

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Value-Based Care Solutions

Our value-based PBMs provides clinical value, innovative technology, and actionable data analytics. Combined with industry leading customer support and access to one of the largest pharmacy networks, our value-based care solution has what you need to support your claims management strategy. myMatrixx, for example, is squarely focused on workers’ compensation patient advocacy. 

myMatrixx’s unique position as a pharmacy benefit manager (PBM), dedicated to injured workers, means we can tailor solutions to the specific needs of each client. Flowing from this idea is a powerful set of products designed to achieve positive outcomes and keeping patient safety as the highest priority.
 

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