Simplify Pharmacy Benefit Management

Custom solutions that increase efficiency, enhance engagement, and ensure compliance.

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Excellarate develops and implements solutions for Pharmacy Benefit Managers that enhance efficiency through simplified processes, customized to each PBM's specific requirements. Our industry experts bring decades of experience in the healthcare field and unmatched, specialized, technical expertise within the PBM domain.

In the US, pharmacy benefit managers (PBMs) administer prescription drug plans for approximately 266 million patients, responsible for developing formularies, contracting with pharmacies, and negotiating pricing with drug manufacturers.

Excellarate’s industry-tested solutions help PBMs to better manage their end-to-end process to improve program efficiencies, minimize risk, and enhance patient engagement for better outcomes.

Excellarate helps Pharmacy Benefit Managers,

  • Understand the requirements for health benefit exchanges
  • Better manage the patient and member experience
  • Drive engagements to help build effective strategies for member identification, experience, and retention
  • Establish and maintain compliance with relevant regulations
  • Meet security standards for protecting personal health data

Customized solutions to meet the needs of each PBM, including functionality such as,

  • Best-in-class workflows for claims, enrollment, and medical management
  • Formulary and benefit plan design
  • Retail network management
  • Mail-order pharmacy management
  • Product evaluation and selection
  • Operational readiness (BPS)

Patient Portal

Excellarate’s Patient Portal makes it easy for providers, payers, and other healthcare organizations to engage with patients more effectively. With a few clicks, patients can access essential functions, including wellness management, health risk assessments, personal health record (PHR), and telemedicine.

Key features include,

  • System-agnostic patient portal works with any installed EMR or other software
  • Increased medication adherence and reconciliation
  • Customizable patient care reports with notifications
  • Online bill pay and financial management tools
  • Mobile-responsive design for tablets and smartphones
  • Customized, integrated forms
  • Patient surveys and patient-centered data reporting

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