Pharmacy benefit managers (PBMs)
Working together to enhance quality of care while containing costs
The environment for PBMs continues to be challenging. Member and payer expectations are changing. EXL Health works with you to find ways to transform operations that reduce overall expenditures, improve pharmacy network performance, and ensure that members receive the best care possible.
Together, let’s find a better way
EXL Health collaborates with you to help accelerate your organization by combining PBM domain expertise, analytics capabilities, data management, and digital assets.
We partner with you to improve the consumer experience, enhance analytic offerings, address data gaps, and improve network communication and compliance.
Our collaborative approach helps you contain costs, enable capacity growth, and address quality care gaps.
What we do
EXL Health’s predictive analytics solutions, clinical quality and utilization management services, workflow technology, and prescription claim auditing capabilities help you improve pharmacy management. We work with you to enhance pharmacy operations, enable digital transformation, and provide powerful population health insights that enable you to achieve market growth and expansion.
Call Center Modernization
Improve member engagement, reduce AHTs, and better support representatives.
Pharmacy quality and care management
End-to-end care management services to improve patient care and support total cost of care reduction and delivery on contractual commitments.
Payment integrity
Provide payment support for network contract management, rebate contract management, specialty and mail order pharmacy, and prescription claims.
Data and analytics
We create the data management foundation to support advanced analytics, that help you gain insight to drive the best action.