Step 4: Members receive white glove transition support from their care team. + The pharmacy team performs proactive outreach to all impacted members by phone, email, and mail. Individualized attention and guidance helps members make the decision that’s right for them. + Pharmacists hold on-site and virtual office hours to prepare members for the transition. + The pharmacy team doesn’t just tell members what to do, they proactively take care of actions like transferring mail-order and specialty medications.
Step 3: Transition team creates a tailored engagement plan. + Your transition team gets to know the benefits team and their culture during the earliest stages of launch so that they have comfort that their members are in good hands. + The team studies employees’ needs, learns about prior pain points, and confirms benefit requirements. + Once go-live has been set, the high-touch transition team develops a tailored project plan.
TOP TRANSITIONS APPROACHES INCLUDE:
Non-preferred medication. Inform of increased costs and direct to lower-cost alternatives, including working with the PCP for new prescriptions. Excluded medication. Assist with qualifying for medical necessity to continue using their medications or help switch to a covered alternative. Specialty members. Early proactive outreach to high-cost utilizers. Relevant information and resources are provided early and often in the implementation process. On-demand guidance beyond go-live. Navigating prescription needs can be complex at any point in a member’s journey. Rightway gives members on- demand access to dedicated support from pharmacists who offer expert clinical guidance. Pharmacists answer questions and take action on the members’ behalf, increasing adherence while lowering cost.
“I want to take the time to let you know what a fantastic job Whitney has done in helping me with my specialty medication. She was very informative in letting me know what I needed to do and then went ahead and actually did it for me. Whitney exudes positivity, teamwork, and competence in her job. You are very lucky to have her on your team!” Rightway member after a medication transition .
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