Flexible and tailored strategies are critical to health plans and hospital systems to improve member health, control costs, and stay competitive in the marketplace.
Navitus understands the health care delivery system and the need for innovative solutions to provide affordable coverage for members and comprehensive support for interaction with affiliated providers and hospitals.
To meet these needs, we align incentives, collaboration and accountability to ensure enhanced care coordination, efficiency, productivity, quality of care, and high-value outcomes. Our independent and full-disclosure business model ensures complete alignment of our interests with those of our clients. We invite you to Share a Clear View with us to:
Understand how your money is spent and achieve ultimate program control
Control what drugs are on your formulary and self-direct your program at any level desired
Leverage a full suite of tools, system interfaces, and clinical program and services
Achieve decision-making authority with transparent pricing and revenue stream knowledge
Control your plan destiny vs. the PBM determining how, and to what extent, savings are achieved
Achieve greater overall value, savings and member satisfaction
We have proven success working with our health plan and hospital system clients to improve their net return and competitive market position through tailored lowest-net-PMPM cost strategies. We have consistently delivered substantial cost savings to both plans and members—without compromising patient care. We promote member well-being and more cost-effective therapies through targeted clinical and formulary strategies specific to member populations and promotion of in-house pharmacies. Dedicated account teams provide proactive consultation to help clients stay in front of marketplace dynamics.
Our zero spread, transparent, full pass-through business model is vital to our clients, particularly as market pressures continue to impact drug costs. Our clients enjoy the significant cost savings delivered with the immediate pass-through of all drug pricing, network rate and rebate improvements. In addition, health plans and hospital systems benefit from the flexibility to optimize the use of their own pharmacies for retail, mail and specialty prescriptions. This enables clients to employ advantageous pricing strategies, such as 340B and GPO, and to experience lower costs through deeper discounts and the use of generic alternatives. Collectively, these strategies result in cost savings for both the plan and their members.
Collaborative partnerships enable plan sponsors to leverage the expertise of their clinical staff as appropriate to their goals. Next-generation business support tools, such as Navi-Gate® 3D, provide plan sponsors with online, real-time access to utilization data for drill-down analysis, ad hoc reporting, and targeted patient and provider monitoring.
Our business model and government preparedness activities enable us to assist our clients in navigating the complexities of health care reform. We are already well-positioned to address the Patent Protection and Affordable Care Act (PPACA), as demonstrated by our full pass-through pricing; full transparency and full disclosure operations; clinically-appropriate, lowest-net-cost therapies; and consumer engagement, prevention and adherence with interventions and targeted solutions that encourage optimal behavior.
Navitus offers an extensive array of full-service PBM programs and services in support of its health plan and hospital system clients.
We put people first, provide the tools to drive better outcomes, and use data to Share a Clear View to support informed decisions.
We invite you to Share a Clear View with us.