Minimizing member disruption.
Background A smooth transition to any new benefit requires a benefits partner who executes careful planning, effective education, and a concierge level of service. Traditional PBMs have historically had little incentive to minimize implementation disruption. A cumbersome transition helps makes an employer more likely to avoid another unpleasant implementation. Rightway’s high-touch transition strategy minimizes disruption, allowing employers to introduce a PBM that delivers on their cost-savings objectives while delivering a world class experience to their teams. How Rightway minimizes member disruption. Step 1: Client makes benefits selection based on their goals. + Rightway’s flexible PBM lets employers select the
Step 2: Rightway performs a formulary transition analysis.
+ During implementation, Rightway’s transition team reviews a client’s claims history file to identify cost avoidance opportunities such as: + Formulary optimization (~6-9% savings) . + Step therapy and quantity limits (1-2% savings) . + Prior authorizations (~2-4%) . + Rightway runs a detailed project analysis to identify all members who may be affected by the transition based on the cost avoidance measures. + The average true transition impacts roughly 2% of members. If the client were to stay with their current solution, formulary changes affect 2% or more of members. + Stimulant restrictions (~<1% savings) . + Low-value drug combinations (minimal as usually identified in the formulary review) .
coverage that aligns with their objectives. + A guaranteed NPS ensures that member satisfaction remains high.
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