health plans
Automated Insights & Optimized Performance
Xevant’s intelligent analytics platform infuses real-time automation across the entire pharmacy benefits eco-system to autonomously analyze every Rx claim individually and in aggregate resulting in game-changing control, cost savings and outcomes improvement.
Reduce Costs with Real-Time Insights
- A first-of-its-kind and ever-expanding pharmacy data analytics platform
- 12 modules, 300 dashboards, over 3,500 reports
- Real-time automated analytics and a user-friendly interface allow for optimized business practices, reduced operating & drug costs, improved patient outcomes
The Health Plan Challenge
- Untimely/inconsistent analyses & reporting from your PBM’s assigned account team
- Little to no access to intelligent, real-time insights to drive outcomes and value-based models
- Reporting from your PBM in varied formats, quality, and availability
- Inconsistent depth of analyses lacking relevant information
- Sub-optimal ASO RFP analysis support from your PBM account team
- Poor budget allocation resulting in lost opportunities, wasteful spending, and inefficient client management
The Problem with the Current PBM Model
Drug benefit plans are complex and require diligent, constant oversight; small problems become serious issues over time, with major financial and health impacts. Remediating these issues requires time and effort. A high-cost claim, an underperforming retail network, a high-risk patient population, a brand-heavy prescriber, and other drug plan issues all contribute to these costs. Quarterly/annual reviews only slightly peek into the window of costly problems – months to years after they occur, long after any actionable solution has a meaningful, lasting impact.
Xevant & Health Plans – “Bad News Early Is Good News”
Identifying problem areas today translates to good stewardship of the plan and patient, savings of time, savings of cost, and client satisfaction
Immediate savings opportunities: better client performance through conversion of data into immediate action
- Xevant autonomously identifies problems and opportunities in real-time.
- Manage specific claims faster than ever, addressing immediate and future unnecessary costs.
- Retrospective quarterly and annual reviews serve a purpose, but they simply fall short where drug plan costs need immediate action – bad news early can be good news.
Save Time with Automated Reporting
- Today, teams of people with varied resources take days or weeks to produce reports
- With Xevant, in seconds, the report comes to you automatically, in a customized, client-ready presentation
Better Client Management Now
- Xevant automates time-consuming requirements – boosting client satisfaction and retention
- Client reviews, claims management, member research, and clinical management are instantly at your fingertips instead of weeks or months
Automated Pharmacy Claim Repricing and Savings Analyses
- Reprice pharmacy claims and generate savings analyses in minutes.
- Infinite pricing schedules and scenarios embedded within Xevant
- Generate greater revenue and margin by improving your ability to manage risk, calculate margin, and retain and secure additional ASO business
Expert Pharmacy Analysis
Along with insight into claims data, Xevant’s team of industry pharmacy professionals can assist with timely action to prevent future claims problems today.
Full Transparency & PBM Oversight
Xevant analyzes claims data to give you real-time insight into PBM and ASO pricing performance.
Full transparency and instant access to the data you need when you need it.
Automated Alerts
- Immediately avoid potential problems at the patient, group, or overall plan level, now.
- Identify escalating issues with automated alerts on a consistent basis
- Ditch the “look-back” model – significant savings and cost avoidance for health plans are here, now
- Get instant alerts for all stakeholders when performance falls above or below customized clinical and financial “performance zones”
- With deployment of Xevant, immediate intervention has resulted in improved member health, reduced client and analytics cost, and reduced clinical oversight, by addressing issues as they occur
The Xevant platform is helping Plans today
Xevant has had a significant impact for our health plan partners who are achieving over 9% savings through deployment of Xevant. Select use case examples include:
Automating specialty copay assistance programs resulting in 9% plan and member cost savings
Automating Disease and Utilization Management by autonomously identifying target patients in real-time and enabling clinicians to decrease time to intervene and influence behavior by 30 days
Automating client plan reviews resulting in health plan cost avoidance of 5%
Automating PBM Contract Pricing Management resulting in claims cost reduction of 3% and audit cost avoidance of over $50K per audited client
