Pharmacy benefit managers (PBMs)

Pharmacy benefit managers (PBMs)

Looking and going deeper to advance pharmacy benefit management.

Pharmacy benefit managers (PBMs)

Looking and going deeper to advance pharmacy benefit management.

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.

Latest insights
Transformation starts with inspiration. See the latest ideas from some of our leaders.
Case study
Cognitive AI solution transforms contact center for lead...
Case study
Cognitive AI solution transforms contact center for leading healthcare organization
Cognitive AI solution transforms contact center for leading healthcare organization The challenge A leading healthcare organization was looking to improve its provider-focused contact center operations for precertification processing. After an in-depth assessment of their operations, which included the types of calls, call volumes, average handle time, and provider satisfaction, the organization identified several areas of challenge, including
Cognitive AI solution transforms contact center for leading healthcare organization The challenge A leading healthcare organization was looking to improve its provider-focused contact center operations for precertification processing. After an in-depth assessment of their operations, which included the types of calls, call volumes, average handle time, and provider satisfaction, the organization identified several areas of challenge, including
Solution sheet
Pharmacy and PBM client reporting
Solution sheet
Pharmacy and PBM client reporting
Client reporting is often a race to mediocracy for pharmacy and PBM organizations. Reports are often manually curated and extremely dense, which can lead to high costs and stretch limited internal resources. Bringing value and efficiency back Singular resource expansion rarely solves an organization’s problems. Our reporting solution uses advanced analytics, automation, data management and robust reporting to deliver interoperable insights that are a
Client reporting is often a race to mediocracy for pharmacy and PBM organizations. Reports are often manually curated and extremely dense, which can lead to high costs and stretch limited internal resources. Bringing value and efficiency back Singular resource expansion rarely solves an organization’s problems. Our reporting solution uses advanced analytics, automation, data management and robust reporting to deliver interoperable insights that are a
Infographic
PBM and Pharmacy client reporting
Infographic
PBM and Pharmacy client reporting
Legacy PBM and pharmacy client reporting systems often lack structure, capability, and efficiency. Reports are dense, hard to navigate, and provide minimal value to the client. It’s not uncommon for reports to be dozens pages, with the information difficult to digest and lacking clarity on client recommendations. Why EXL? EXL is your trusted partner in increasing your operational efficiency, maximizing your ROI, and growing your business with imp
Legacy PBM and pharmacy client reporting systems often lack structure, capability, and efficiency. Reports are dense, hard to navigate, and provide minimal value to the client. It’s not uncommon for reports to be dozens pages, with the information difficult to digest and lacking clarity on client recommendations. Why EXL? EXL is your trusted partner in increasing your operational efficiency, maximizing your ROI, and growing your business with imp
Solution sheet
Minimize payment disputes, increase collections and prot...
Solution sheet
Minimize payment disputes, increase collections and protect revenues
EXL Health’s pharmacy rebate solution arms you with facts to maximize collections and preserve brand reputation Pharmacy Benefits Managers (PBMs) are losing millions in drug manufacturer rebates due, in part, to growth of the 340B discount drug-pricing program and a severe lack of a solid data management structure. As a result, manufacturers have begun to scrutinize everything, causing sharp decreases in reimbursements, alongside sharp increases in paye
EXL Health’s pharmacy rebate solution arms you with facts to maximize collections and preserve brand reputation Pharmacy Benefits Managers (PBMs) are losing millions in drug manufacturer rebates due, in part, to growth of the 340B discount drug-pricing program and a severe lack of a solid data management structure. As a result, manufacturers have begun to scrutinize everything, causing sharp decreases in reimbursements, alongside sharp increases in paye
White paper
PBM companies turn to AI to improve operations and deliv...
White paper
PBM companies turn to AI to improve operations and deliver better customer experiences
Leveraging digital assistance and intelligent document processing to create successful patient journeys The U.S. healthcare industry is under pressure to reduce costs and improve performance while providing a superior member experience. Pharmacy benefit managers, also known as PBMs, are feeling this growing pressure to lower increasing drug costs through optimizing operations without losing focus on members. PBM companies are engaged in every part of
Leveraging digital assistance and intelligent document processing to create successful patient journeys The U.S. healthcare industry is under pressure to reduce costs and improve performance while providing a superior member experience. Pharmacy benefit managers, also known as PBMs, are feeling this growing pressure to lower increasing drug costs through optimizing operations without losing focus on members. PBM companies are engaged in every part of