Payers / Managed Care / PBMs

For payers and benefit managers under pressure to curb rising costs and ensure high-quality care, CDS tools offer intelligent insight that can be used to satisfy both beneficiaries and stakeholders. By leveraging superior health data analytics, payer organizations are able to improve the quality of care—through streamlined care coordination, caregiver performance reports and effective resource allocation—while managing high-risk patients, satisfying regulatory compliance mandates, and setting competitive premium rates.
 

Related Solutions by Category

Analytics & Reporting

• Risk Navigator Clinical® (Predictive modeling, high impact solution)
• Risk Navigator Financial® (Predictive modeling, high impact solution)
• Risk Navigator Performance® (Provider profiling)
• Risk Navigator Provider® (Improve provider and patient engagement)

Drug Reference & Decision Support

• Clinical Pharmacology (The drug information resource)
• Complex Care Management™ (Best practices for behavioral health
• MEDalternatives (Integrated therapeutic alternatives for consumers)
• MEDcounselor (Consumer Drug Education in 14 languages)
• MTM 360 (Medication Therapy Management)
• ProspectoRx (Online Drug Pricing Reference and Analytics)