Prism to Independently Manage Patients
CASE management
Xevant’s Platform Enables Prism to Independently Manage Patients That Are New to Diagnosis
“Our independence and our ability to take independent action on database insights is something that really differentiates our capability.”
Ryan Rice, Principle & Practice Leader
PRISM BACKGROUND
Prism Health Strategists (Prism) is an agile healthcare consulting agency delivering a wide variety of specialized healthcare solutions across the United States. Their sole purpose is to align and empower each of their partners to reduce costs, improve care, and enhance the valued benefits offered to their plan participants.
CHALLENGES
Delayed Response Time
Typically, new patient data is delivered by PBMs every 2-3 months. This delay of information created a bottleneck for Prism. Rather than taking immediate action for patients new to diagnosis–alerting clients to critical plan changes–they were forced to work retroactively. This stifled process can lead to the prevention of patients getting the care they need quickly.
Truncated Data
By relying on other entities to provide patient data, Prism had no control on how much information they received. This limitation of detailed claims prevented them from taking proactive steps on a patient’s behalf which ultimately hindered the care the patient received.
“Xevant has enabled us to identify new patients immediately including name, drug, and diagnosis rather than waiting 2-3 months for medical data to flow in. Automatic alerts are triggered that inform case managers, pharmacy directors, and other stakeholders allowing them to reach out and help manage their medication.”
Ryan Rice, Principal & Practice Leader
THE XEVANT SOLUTION
With Xevant’s platform, Prism gained immediate access to patients who are new to diagnosis enabling them to coordinate within the healthcare sector to rapidly prepare for increased costs. Ultimately, this improves medication adherence, decreases overall health costs, and helps the patient’s outcome.
A Broader Impact
With immediate access to claims through Xevant, Prism can now take actionable data and empower others to make more concerted efforts that have a broader impact on the healthcare spectrum – coordinating with physicians, nurses, and nurse case managers.
Able to Work Independently
Xevant enables Prism to identify new patients immediately including name, drug, and diagnosis rather than waiting 2-3 months for medical data to flow in. This triggers an automatic alert that informs case managers, pharmacy directors, and other stakeholders allowing them to reach out to help manage their medication.
- Independence. Xevant’s access to real-time data enables Prism to take proactive steps in managing patients who are new to diagnosis
- Daily Updates. Rather than waiting months for actionable data, Xevant provides updates daily, so Prism is empowered to make meaningful changes immediately.
- Automation. By automating detailed claims information, Prism can send automatic alerts to case managers about patients new to diagnosis.
- Actionable Insights. Understanding the market with actionable insights from the Xevant platform enables Prism to suggest the most cost-effective drug treatment option for patients.
