Xevant Solutions for Consultants/Brokers
Automated Insights. Optimized Performance.
The X4 solution infuses real-time automation across the entire pharmacy benefits eco-system to autonomously analyze every Rx claim individually and in aggregate resulting in control, cost savings and outcomes improvement unmatched in the industry.
Reduce Costs with Real-Time Insights
- A first-of-its-kind and ever-expanding pharmacy data analytics platform
- 14 modules, 330+ dashboards, and 4,000 + individual reports
- Real-time automated analytics and a user-friendly interface allow for optimized business practices, reduced operating & drug costs, and improved patient outcomes
Take Control of Your Clients' Data
Pharmacy is a major and ever-growing part of overall health care costs in the U.S.; traditional ways of interacting with your PBM partner mean increased time and effort to address a very serious component of drug trend. Familiar challenges include:
- Untimely/inconsistent analyses & reporting from your clients’ PBM
- 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
- Inconsistent proposal/RFP response analysis, market checks, audits, and PBM monitoring due to multiple players in the PBM space with fractured or inconsistent pricing methodologies
- Poor budget allocation resulting in lost opportunities, wasteful spending, and inefficient client management
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 & Consultants/Brokers – “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
- X4 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.
Full Transparency & PBM Oversight
- X4 analyzes claims data to give you real-time insight into PBM pricing performance
- Full transparency and instant access to the data you need, when you need it
Automated Pharmacy Claim Repricing and Savings Analyses
- Unlimited pricing analyses in minutes – simplify RFPs, proposal evaluation, market checks, audits, and PBM contract monitoring
- Infinite pricing schedules and scenarios embedded within X4
- Generate greater savings and patient outcomes for your client by improving your ability to automatically monitor all aspects of PBM performance – demonstrate your value to your clients
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.
Better Client Management Now
X4 automates time-consuming requirements – boosting client satisfaction and retention.
Client reviews, claims management, member research, and clinical management are instantly at your fingertips – you set alerts/thresholds on PBM performance and are notified when they occur.
- 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 your client stakeholders are here, now
- Get instant alerts when performance falls above or below customized clinical and financial “performance zones”
- With deployment of X4, immediate intervention has resulted in improved member health, reduced client and analytics cost, and reduced clinical oversight, by addressing issues as they occur
The X4 platform is helping health plans today
X4 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
Automating specialty copay assistance programs resulting in 9% plan and member cost savings
Automating Client Plan Reviews
Automating client plan reviews resulting in health plan cost avoidance of 5%
Automating PBM Contract Pricing
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 Disease and Utilization
Automating PBM Contract Pricing Management resulting in claims cost reduction of 3% and audit cost avoidance of over $50K per audited client