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Integrated Medical & Rx Benefit
Integrated Medical & Rx Benefit

More Effective Care Management


Combining your medical and pharmacy benefits with us makes care management more effective – leading to healthier employees and additional savings. Integrated Rx and member management gives you the whole picture on claims and utilization, so you can improve the health and safety of employees and mitigate the risk of costly claims.

Integration Means Savings

Integrated care provides higher quality health care for your employees – and it can also save you money.

Based on our assessment, we observe up to a 6% lower medical cost (pmpm) for groups that we manage both medical and pharmacy benefits, compared to those groups who carve their prescription drug plan out to a third party. These savings are consistent with what others have noted nationally, including an evaluation by the Blue Cross Blue Shield Association, which showed a 4-8% reduction in medical costs when both medical and pharmacy benefits are managed together within a health plan. 

This integration gives you the whole picture on claims and utilization, so you can improve the health and safety of employees and mitigate the risk of costly claims.

Employee health programs save an average of 4%

Our integrated Total Health Management programs are designed to minimize your costs by
helping your employees stay healthy and productive:

Total Health Management
Member Care Management
Member Care Management
  • Reaches out to employees with complex conditions or needs
  • Helps prevent high-cost health events
  • Provides preventative care programs and 24/7 Health Coaching
Utilization Management
Utilization Management
  • Claims are reviewed to make sure they're medically necessary
  • Ensures employees are not receiving unnecessary medical services
Radiology Management
Radiology Management
  • Ensures employees only receive tests that are medically necessary
  • Protects employees from unnecessary exposure to radiation
Quit For Life
Quit For Life®
(Available for an additional fee)
  • Highly successful smoking cessation program
  • Helps avoid health conditions and medical costs associated with tobacco addiction
  • Excellus BlueCross BlueShield book of business quit rate is 42%

A variety of additional wellness programs are available for an added fee. Ask your trusted advisor for details.

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