Gary Harvey, industry executive, speaks with GalaxE’s Tore Carlson and Dheeraj Misra about pharmacy benefit managers, their relationship with health plans, and how recent innovations will shape the future of the PBM/health plan landscape.
GalaxE’s Chief Automation Officer and EVP, Dheeraj Misra, and VP Business of Development, Tore Carlson, discuss mergers and acquisitions, pairing up of health plans and PBMs and more.
Healthcare providers need to focus on lowering cost, increasing personalized and timely attention to patients, and alignment with the next generation of patients and around the clock availability. By leveraging voice technologies, which will soon be a mainstay in homes around the globe, providers are easily available to patients and can provide the level of personal care the next generation demands.
With the introduction of new players in the industry such as large wholesalers and online providers driving massive change and desire for transparency, PBMs face a real challenge in the reinvention and maintenance of their value proposition towards the betterment of patients’ health and wellness.
Managing benefit plans is time-consuming and subject to human error, which can affect performance and regulatory compliance. A firm alignment between business and IT leads to efficient benefits plan management.
A $4 billion healthcare information services company initiated automated QA processing of benefit forms resulting in a 25% reduction in processing time and a 100% reduction in direct mail errors. We are more than a consultant crunching numbers. We are a trusted partner who can help you achieve your goals.