Payers & Healthcare Companies

Our comprehensive suite of services enables captives, self-insured companies, at-risk providers, PBMs and regional health plans to regain control, ensuring optimal patient outcomes and cost management.

Managing Pharmacy Costs: Raising the Bar and Resetting Standards for:

AscellaHealth manages pharmacy costs through our comprehensive suite of services for captives, self-insured companies, at-risk providers, PBMs and regional health plans. Our pharmacy management solutions are fully adaptable and scalable to meet the needs of the modern payer.

Payer Services Core Offerings Include:

Specialty & Medical Cost Management

  • Expert management of specialty claims under the pharmacy and medical benefit
  • Unique reimbursement, discounting and manufacturer rebate programs

Formulary & Network Design

  • Specialty drug utilization and formulary management
  • Prior authorization solutions
  • Specialty Pharmacy and infusion centers of excellence, with national reach and high-touch patient support capabilities

Custom Clinical Programs

  • Patient interventions at key points in therapy to optimize compliance
  • Care coordinators trained in all chronic, complex conditions
  • Patient journey mapping

Data & Analytics

  • Compliance and persistency metrics
  • Time to fill metrics
  • Actionable data for program optimization
  • Cost savings analysis

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Awards and Accolades

AscellaHealth is proud to be recognized as a leading global specialty pharmacy and healthcare services organization. We have won multiple awards both within and outside of the healthcare industry.

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