Pharmacy Benefit Management Health Plan Solution | Welltok
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Pharmacy Benefit
Manager (PBM) Solution
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Highly-Targeted Outreach

In today’s pharmacy ecosystem, rising costs, consumer demand for personalization, and the burden of complex prescription and plan administration can be challenging. Welltok’s technology empowers you with advanced insights and targeted multi-channel outreach that is proven to drive member action.

By predicting who will actually take action and conducting interventions at the right time, you maximize resources and lower costs, boost quality ratings, and ultimately improve the member experience and outcomes.

 

We use predictive models to deliver the right message at the right time to the right individual through the right channel. This personalized approach is proven to improve medication adherence, mitigate formulary changes and increase refill rates.

Key Capabilities

Analyze

Leverage consumer data, including social determinants of health, to identify risk of non-adherence and receptivity to interventions. Predict which campaigns and channels will be most impactful on target populations

Activate

Segment your strategy based on risk and motivate individuals to take specific actions like refills with personalized outreach, including both high-touch and high-tech approaches

Optimize

Apply insights from ongoing analysis and reporting to drive more value and capitalize on opportunities

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Solution Features

Medication Adherence

Identify barriers and deliver barrier-breaking messages and execute Stars and MTM initiatives

Automated Reminders

General reminders, education with refill prompts and transfer to live agents

Formulary Programs

Specialty pharmacy, condition specific programs and general formulary changes like network, prior authorization and consent for fulfillment

Savings

Programs

Automatic refill/renewal programs, retail-to-mail and 90-day programs

Best in Class
Enterprise Security

Our solutions ensure regulatory compliance, privacy
and security for you and your consumers

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Consumer
Activation

Deliver a personal, rewarding and actionable
experience for each and every consumer

Take Action
Delivering Value for PBMs

Increase Refills

85%

Improvement in refill rates
compared to unengaged

Case Study

Star Improvement

1-2 star

Improvement across
medication categories

Case Study

Medication Adherence

42%

Refilled after hearing a
barrier-breaking tip

Case Study