Serving the Public
Sector with comprehensive support
We help Public Sector clients simplify their pharmacy and medical benefits—maximizing publicly-funded budget dollars to drive out waste.
Partnering to unlock the most value for your plan
We understand the unique challenges you face. Our goal is to empower you with the information to face those challenges head on and drive the best decisions for your members and constituents.
Right for today. Right for tomorrow. Right by your side.
We’ll be a trusted advisor to your organization to deliver the right support for your members’ needs.
Curated and reliable service
Keeping you informed of the latest in legislation
Our Government Affairs team will analyze changes in the legislative environment and offer your organization a 360° perspective of its impacts to you and your members. This offering is unique in the marketplace and enhances our ability to serve the unique needs of our public sector clients.
ClearCareRx
Providing clear and predictable costs for prescription drug benefits
With ClearCareRx, clients pay exactly what we pay the pharmacy for a prescription and receive 100% of drug rebates obtained through negotiation—enhancing transparency and eliminating price confusion.
Staying at the forefront of new advances in care
We offer a suite of innovative care and benefits solutions that work hard to eliminate barriers to care and reveal new ways to drive out waste. Explore our popular offerings for Public Sector below.
By transcending health care fragmentation, we empower members and put them at the center of their care.
Closed care gaps
Leveraging advanced data and analytics, our coordinated care experience addresses comorbidities, leading to better outcomes.
Lower total medical costs
Our predictive models and personalized decision support helps to reduce the need for unnecessary interventions.
Sustainable outcomes
By addressing a variety of factors and offering behavioral screenings, physical therapy and pre/post-surgery support, we are able to optimize outcomes.
Capping prescription drug prices through a simple, predictable copay model and low, flat-dollar tiers
Better member experience
Increased visibility to member pay
Reduced abandonment
Integrated pharma value
Reduction in medical costs
Improved utilization
Empowering plan sponsors with tools and solutions to make smart, effective benefit decisions in a complex specialty environment.
Specialty benefit decisions you can feel confident in
Flexible options to manage specialty spend
Advocacy for access to lower cost, quality care
More holistic care experiences for your members
Tools to make more informed decisions
Health Connect 360 Flex Medicare evaluates your entire population to determine members AND physicians who would benefit from an adherence outreach or an outreach to address health and safety concerns. The measures improve patient health outcomes and support your Medicare Star rating goals.
Improved adherence for diabetes, hypertension, and cholesterol
Closing gaps in care for statin use in persons with diabetes
Providing retroactive health and safety monitor
