Recommendations
As optional, value-added point programs, PCM Recommendations support plan cost containment and clinical support strategies.
Recommendations
As optional, value-added point programs, PCM Recommendations support plan cost containment and clinical support strategies.
PCM Pharmacy Savings
With PCM Pharmacy Savings, plans contain costs by engaging physicians to switch participants from high-cost to low-cost drugs.
- Lowest cost switches
-
Specialty identification
-
Proactive participant engagement
-
Validated PMPM savings
-
Full-suite reporting
The Pharmacy Savings Process
PCM does the work. Your plan sees measurable, long-term pharmacy savings.
Identify low-cost Rx alternatives.
Engage physicians.
Gain participant approval.
Facilitate Rx fill.
Participant Engagement
PCM’s team of Licensed pharmacists and certified pharmacy techs make navigating pharmacy care simple:
- Personalized pharmacy education
- Proactive outreach on savings opportunities
- Lower out-of-pocket costs
- Expert guidance for improved clinical outcomes
Plan Savings
PCM Pharmacy Savings helps plan sponsors and participants lower prescription drug costs at the source:
- No plan changes required
- Quick implementation
- Limited HR workload
- Minimal participant disruption
- Lower patient copays
See where your money is going with a complimentary analysis.
Cost Containment
Engage participants and providers to act on high-cost drugs. Our dedicated support team is here to do the heavy lifting.
- Flexible implementation
- Comprehensive reporting
- Measurable PMPM savings
- Interactive management platform
- Consolidated claims
Alternate Funding
- No plan changes
- $0 participant co-pay
- High case approval rates
- Lower specialty spend
International Rx
- No medication changes
- Direct to participant shipping
- Automatic Rx identification
- Low participant disruption
Rx Tourism
- 5-star facilities
- Full-service concierge
- Locked-in rates
- Up to 70% savings
Build a supplemental pharmacy and medical benefit program to optimize your benefits strategy.
- A la carte model
- Flexible service levels
- Customized integrations
- In-house engagement
- Program validation
Built to Suit
With customized program integrations, PCM helps you build a plan-specific program.
Build a plan-specific cost containment program with PCM.
Clinical Review
Targeted solutions focused on balancing clinical outcomes and costs to prioritize participant health.
- Patient-focused care
-
Reduced medical costs
-
More pharmacy savings
-
Improved treatment outcomes
-
Participant engagement
Specialty Review
Treatment of complex conditions can be costly. Specialty Review allows plans to manage financial costs and improve health outcomes one person at a time.
- Model-based care management
- Personalized specialty drug treatment
- Reduced out-of-pocket spend
What is Specialty Review?
Utilizing real-world evidence, Specialty Review is a model-based care management solution that drives personalized specialty treatment. This, in turn, provides your participants with:
Individualized Care Planning
Specialty plans tailored to
meet participant needs.
Hassle-Free Implementation
Easy, anytime implementation with limited participant disruption.
Precision PGx
Based on drug-gene interaction, PGx identifies a participant’s metabolic rate which encourages doctors and patients to make informed decisions, resulting in:
- Reduced medical costs
- Improved participant health
- Expanding panels
- Complete participant privacy
- Enhanced drug efficacy
The PGx Process
Reduce medical costs and enhance drug efficacy with a simple oral swab.
PCM identifies participants who may benefit from PGx testing. Participants receive a simple oral swab to complete at home.
Tests are processed and the results send directly to the participant using secure HIPAA guidelines
Participants can discuss results with a medical professional via telemedicine or with their primary care provider.
Improve clinical outcomes and participant health with PCM.
PCM Pharmacy Savings
With PCM Pharmacy Savings, plans contain costs by engaging physicians to switch participants from high-cost to low-cost drugs.
The Process
PCM does the work. Your plan sees measurable, long-term pharmacy savings.
Participant Engagement
PCM’s team of Licensed pharmacists and certified pharmacy techs make navigating pharmacy care simple:
- Personalized pharmacy education
- Proactive outreach on savings opportunities
- Lower out-of-pocket costs
- Expert guidance for improved clinical outcomes
Plan Savings
PCM Pharmacy Savings helps plan sponsors and participants lower prescription drug costs at the source:
- No plan changes required
- Quick implementation
- Limited HR workload
- Minimal participant disruption
- Lower patient copays
Cost Containment
Engage participants and providers to act on high-cost drugs. Our dedicated support team is here to do the heavy lifting.
- Flexible implementation
- Comprehensive reporting
- Measurable PMPM savings
- Interactive management platform
- Consolidated claims
Built to Suit
Build a supplemental pharmacy and medical benefit program to optimize your benefits strategy.
- A la carte model
- Flexible service levels
- Customized integrations
- In-house engagement
- Program validation
Clinical Review
Targeted solutions focused on balancing clinical outcomes and costs to prioritize participant health.
- Patient-focused care
- Reduced medical costs
- More pharmacy savings
- Improved treatment outcomes
- Participant engagement
Specialty Review
Treatment of complex conditions can be costly. Specialty Review allows plans to manage financial costs and improve health outcomes one person at a time.
- Model-based care management
- Personalized specialty drug treatment
- Reduced out-of-pocket spend
What is Specialty Review?
Utilizing real-world evidence, Specialty Review is a model-based care management solution that drives personalized specialty treatment. This, in turn, provides your participants with individualized care planning and hassle-free implementations.
Individualized Care Planning
Specialty plans tailored to
meet participant needs.
Hassle-Free Implementation
Easy, anytime implementation with limited participant disruption.
Precision PGx
Based on drug-gene interaction, PGx identifies a participant’s metabolic rate which encourages doctors and patients to make informed decisions, resulting in:
- Reduced medical costs
- Improved participant health
- Expanding panels
- Participant privacy
- Enhanced drug efficacy
The PGx Process
Reduce medical costs and enhance drug efficacy with a simple oral swab.
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