BenMedica partners with Health Plans, Risk-Sharing Entities (like Accountable Care Organizations), Employers, Government Agencies and Pharmacy Benefit Managers (PBMs) to provide more complete information to clinicians at the point-of-prescribing. When physicians have access to specific information such as copay, alternatives, and coverage restrictions, they are able to prescribe covered medications their patients can afford. This increases the use of preferred medications and in-network pharmacies, lowering drug spending for all stakeholders.
How We Help Health Plans
BenMedica’s solutions provide health plans with the tools and information needed to convey formulary, copay, and coverage information effectively at the point of prescribing. By offering prescribers more complete information, they can select the best medications for their patients. This leads to increased medication adherence and decreased costs for disease management due to non-adherence.
How We Help Pharmacy Benefit Managers
BenMedica partners with PBMs to enhance the formulary data health plans send to prescribers through EHRs. By facilitating increased prescriber access to actionable information, PBMs can help health plans reduce spending on non-preferred prescriptions and out-of-network pharmacies.
With BenMedica your health plans may also improve their Healthcare Effectiveness Data and Information Set (HEDIS) and Medicare Part D Star Ratings, ultimately leading to higher reimbursement, better outcomes and lower costs for all stakeholders.