HEALTHCARE PBM

Improve contract value and prevent revenue leakage

In today’s evolving healthcare environment PBMs are looking for new ways to improve customer contract value while reducing revenue leakages due to gaps in discounts and drug utilization. PBMs are also expected to demonstrate additional value by monitoring patient adherence as well as fast initiation of new medication therapies.

Traditionally PBMs had to rely on separate tools such as CRM, Financials, and various data warehouses and spreadsheets to pull together the information they need to deliver on their goals efficiently. There hasn't been an integrated way to view data, related and relevant to their objectives through a single authoritative application ... until now.  

Reltio Cloud enables a complete understanding of your customer organizations, physicians, and patients with real-time visibility into product consumption, prescription and utilization trends by employers and the site of care.

With Reltio Cloud, you get a modern data management platform that fuels data-driven applications in support of all your healthcare pharmacy benefits management initiatives. 

 

BRING ALL DATA TOGETHER, RELIABLY 

Reltio's Healthcare PBM solution brings together data from multiple internal, third party, public and social sources to identify key influencers and to uncover relationships, not just between people and organizations, but payers, products, locations, plans, activities, and prescriptions. Information is continuously cleansed, correlated to form a reliable data foundation for insight and action.

GET RELEVANT INSIGHT TO THE RIGHT TEAMS  

With data blended into one place, teams can get visibility to healthcare, payer, and pharma organizations with hierarchies, channels, regions, and plans. They can understand how contracting is done in the organizations, manage product's formulary status by tiers. And see clearly how plans, products, pharma, and other stakeholders are interrelated. 

 

COLLABORATE ACROSS TEAMS, IN REAL-TIME

With a multi-team, multi-customer focus, it's critical to allow as well as secure access to a convergence of information, with the proper level of role-based access and visibility. Reltio provides built-in annotating, tagging, and voting on data, so every member who has knowledge of plans, payers, products and more, can contribute, and continuously improve tribal knowledge. 

Start FAST, MOVE FASTER

You can rapidly deploy a Reltio data-driven application specific to your company's challenges and domain focus in weeks. Reltio's Data-as-a-Service partnerships with third-party providers such as LexisNexis HMS, MedPro, DarkMatter2BD and others, offer you the choice of the best stakeholder and affiliation data in the industry.  

FOLLOW TRENDS AND ADJUST

Reltio allows you to easily track and analyze cross-correlation of product metrics, including longitudinal performance under the contract. You can also identify, manage and model product consumption, prescription and utilization trends by the site of care. And ultimately determine if the right resources and investments are made for each organization and measure targets and goals to actual performance. 

BE COMPLIANT AUTOMATICALLY

With so many fingers in the data pie, you need comprehensive auditing and tracking features to guarantee compliance. Reltio provides a historical trail for any data merged or updated. Reltio's fine-grained clickstream analysis can even be used to alert you to abnormal data viewing patterns by application users for possible information breach or theft, or used for compliance and efficiency training on how to best use the applications and the data.