Managing drug costs for payers and patients

At CoverMyMeds, we understand that access and affordability can create seemingly insurmountable barriers to therapy for patients. Our solutions help payers reduce operational costs and increase speed to therapy.

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Payer decision-maker seated in conference room reviewing paperwork

The challenge

Payers face multiple challenges in managing healthcare delivery. They are tasked with optimizing patient outcomes and controlling costs, while navigating complex regulations to maintain compliance. The data and analytics they have access to are often fragmented, limiting their ability to make well-informed decisions quickly and effectively.

Optimize the process for better patient service

Helping payers move therapies from the point of prescribing to the pharmacy to the patient is a critical part of improving the patient journey. Our tailored approach leverages cutting-edge technology backed by human expertise, helping you optimize the process for better patient service.

Enhanced operational efficiencies
Our technology-based solutions help empower payer staff to more easily and effectively process claims.
Support formulary compliance
We can assist payers with getting their members on compliant therapy seamlessly through real-time pharmacy benefit solutions.
Empower providers
Our solutions support the delivery of payer-provided therapeutic alternatives along with their costs and alerts to assist providers and patients with prescription decisions.
A smoother appeals process
Optimize the appeals process with operational efficiencies that relieve payer teams of manual processes, ultimately reducing delay-driven prescription abandonment.
Improved client satisfaction
Prior authorization determinations are made up to 2 days faster with our integrated solutions,^{[0]CoverMyMeds.com portal and EHR prior authorization randomized data July 2022 through December 2022} relieving teams of manual prior auth processes and reducing patients’ time to therapy.
Better member experience
Our solutions provide notifications at the point of prescribing, allowing providers to select the most cost-effective drug or one that doesn’t need a prior authorization.

Solutions throughout the patient journey

Our payer solutions start with a focus on prior auth requests, but we’re always working to develop solutions that keep pace with the ever-evolving healthcare policies and processes that can impact a patient's experience.

It makes sense to prioritize prior authorization

With technology on your side, you can stay on top of managing costs with fewer prior auth hassles.

60%
of prior auth requests^{[0]“Ai Ushers in Next-Gen Prior Authorization in Healthcare.” McKinsey & Company, McKinsey & Company, 19 Apr. 2022}
More than 60% of prior auth requests can be processed in less than two hours by leveraging automation technologies.
50%
of manual prior auth tasks^{[0]“Ai Ushers in Next-Gen Prior Authorization in Healthcare.” McKinsey & Company, McKinsey & Company, 19 Apr. 2022}
80%
of prior auth claims^{[0]“Ai Ushers in Next-Gen Prior Authorization in Healthcare.” McKinsey & Company, McKinsey & Company, 19 Apr. 2022}

Join the payers representing 96% of prescription volume with CoverMyMeds today.

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Managing drug costs for payers and patients

The challenge

Optimize the process for better patient service

Solutions throughout the patient journey

Prior authorization

Patient cost predictability

It makes sense to prioritize prior authorization

Join the payers representing 96% of prescription volume with CoverMyMeds today.

Contact our pharmacy team