EXL’s predictive analytics solutions, clinical quality and utilization management services, workflow technology, and prescription claim auditing capabilities help PBMs improve pharmacy benefit management. We enhance pharmacy operations, enable digital transformation, and provide powerful population health insights that let PBMs achieve market growth and expansion.
- Ensure cost containment
- Improve quality outcomes
- Focus resources where needed most
- Unlock insights by leveraging HEDIS, STARS, and P4P performance
- Maximize returns
- Improve patient care
- Reduce costs associated with incorrectly billed or overpaid pharmacy claims
- Focus on prevention, avoidance, and recovery
For businesses that aren't satisfied with good enough, or profitable enough, we use Digital Intelligence to deliver real results.
Digital Intelligence is the foundation of everything we do and inspires our ideas and research.
Achieving growth in the PBM space requires overcoming complex challenges. EXL enables PBMs to reach their goals and contain costs, improve revenue, and enhance patient experiences and outcomes.
Using advanced analytics, powerful data assets, deep domain expertise, and next-generation digital solutions, EXL helps PBMs with pharmacy utilization management, quality and care management, payment integrity for prescription claims, and other important areas. By orchestrating our full suite of solutions, our clients can unlock value and gain a competitive edge.