Pharmacy benefit managers (PBMs)
Pharmacy benefit managers (PBMs)
Pharmacy benefit managers (PBMs)
Working together to enhance quality of care while containing costs
The environment for PBMs has never been more challenging. Member needs are changing. Drug benefits management must evolve in response. EXL Health works with you to find ways to transform operations to reduce overall expenditures, improve pharmacy performance, and ensure that members receive the best experience possible.
Together, let’s find a better way
EXL Health collaborates with you to help transform pharmacy benefit management by combining healthcare domain expertise, analytics capabilities, and digital assets.
We work with you to improve the pharmacy claims review processes to uncover discrepancies, save millions of dollars on a monthly basis, and improve network communication and compliance.
Our collaborative approach helps you contain costs, enable capacity growth, and address quality care gaps.
We empower your PBM leadership with insights enabling you to maximize operational efficiencies, improve medication adherence, and ensure appropriate medication utilization.
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.
Pharmacy utilization management
Create efficiencies and accuracies that drive cost containment and quality outcomes.
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 for prescription claims
Control costs associated with incorrectly billed or overpaid pharmacy claims, focusing on prevention, avoidance and recovery.
Data & analytics
We create the data management foundation to support advanced analytics, that help you gain insight to drive the best action.
