The Employer Groups Employer Groups are often in need of more services than the typical Health Plan. PBMs generally limit their services…
PBM Health Plan Industry Challenges
Recently, polling and speaking with government programs service directors of PBMs, revealed mindsets that their existing workflows are adequate to maintain Health Plan loyalty. That’s not surprising. How do you feel about those workflows? Health plan surveys, show they do not always agree. Research indicates that this process potentially opens the door to risk, reputation loss, wastes time, and resources.
Just the other day we were speaking to a rather large PBM at CAHP and they were astonished to find out that the internet use demographics for Boomers on up was surprisingly higher than they thought, and that by 2018, most would be on the internet. Think about it, grandma and grandpa are retired, and their link to their families are social media sites such as Instagram and Facebook, where they share pictures and stories.
What Health Plans Want – of course controlling drug spend is the main focus of PBMs, however, health plan loyalty demands more services that assist the health plan manage their spend, government regulations and, branding promotion.
We support a variety of clinical letters including retrospective drug utilization reviews, member/prescriber letters and formulary change letters and deliver this platform with our enterprise SaaS workflow tool BridgeSuite™ which automates the intake of data, management of the program and online archival access to fulfillments to members. Although clients enjoy ABGs’ full print production and mail engineering facility, ABG is skilled with multimodal integration, unlocking the potential of deploying digital document delivery methods. We can yield compelling ROI in postage savings and the ability to connect key documents into the EHR and patient-facing web portals.