Healthcare Finance News April 30, 2024
The CarelonRx offering aims to make it easier for employers to plan for future specialty pharmacy costs.
CarelonRx, Elevance Health’s pharmacy benefits manager, is debuting an analytics tool that aims to make it easier for employers to plan for future specialty pharmacy costs while providing advocacy to employees who utilize specialty medications.
The SpecialtyRx Savings Navigator, which uses advanced analytics, will identify members whose health is at the greatest risk. Once identified, this sparks a review of a member’s clinical diagnoses, medications, whole-health integrated support and a review of their site-of-care options.
Members will then receive pharmacist-led outreach to address barriers to care, and to further coordinate integrated care with their whole health team, including medical and behavioral health professionals.
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