Features for
Plan Sponsors / Employers |
P2P |
PBM’s |
TPA’s |
DM’s |
Insurance Carriers |
Pharmacy Benefit Management |
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• Complete and transparent plan information |

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• Real-time, on demand reporting |

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• Utilization, Expenditure, & Trending |

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• Channel & Generic use management |

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• Most costly drugs & drugs by disease category |

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• Predictive cost and risk profiles |

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• Executive Rx plan management reports |

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• Predictive modeling of Rx costs (daily) |

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• Plan design change simulator |

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• Member marketing work flow engine* |

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• Incentive management engine* |

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• Campaign management tools & reporting* |

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• Secure, online member engagement system** |

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Medical Benefit Management |
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• Complete and transparent plan information |

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• Real-time, on demand reporting |

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• Utilization & Expenditure |

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• Disease incidence & Prevalence comparison |

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• Trending |

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• Predictive cost & risk profiles |

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• Executive medical management reports |

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• Secure, online member engagement system** |

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Disease Management |
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Disease management informed by: |
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• Daily predictive modeling |

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• Rx and medical claims data |

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• Health risk assessments |

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• RN case managers |

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• Real-time, on demand reporting |

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• Case load / activity / status |

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• Diseases & risk levels of engaged members |

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• Executive management reports |

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• Reach at-risk members days after first Rx fill |

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• Health and wellness coaching |

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• Toll-free access to case managers – live on 1st ring |

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• Secure, online member engagement system** |

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KEY: = Available, = Limited, = Not Available |
* Integrated system for DM, Rx and Medical benefits management
**Member engagement system details on P2Pme Technical Specification Sheet |