| | December 202119UTLOOKHealthcare Tech PBMs. Employers feel a genuine lack of control over their pharmacy benefits, which will only be exacerbated by novel therapeutics in the manufacturers' pipelines and specialty pharmacy spend growing at 15% annually. WithMe is helping employers regain that control.As a PBM, WithMe aligns incentives with those of the plan sponsor and its members. Unlike traditional PBMs that have volume-based pricing schemes, WithMe uses a single PMPM fee as its only source of revenue.As a personalized medication guidance company, WithMe goes beyond conventional utilization management. Grounded in evidence-based medicine, WithMe's clinical rules set and analytics engine identifies opportunities for increased formulary compliance, therapeutic alternative switches, lower-cost site of fill/care, and a range of disease management interventions.WithMe's analytics engine uses rich member profiles created through a data pipeline that consumes not only pharmacy claims data but also medical claims, SDoH, and self-reported outcomes data. The ever-evolving rule set is applied to these profiles, and tasks are generated for Medication Guides (pharmacists and pharmacy technicians) to reach out proactively to members, sharing clinical and cost-savings recommendations. The Guides' job is made easy with a purpose-built operational CRM platform, which aggregates and organizes all the member's information and intervention opportunities in a single place. This enables Guides to have a meaningful impact on members' experience. One member, who was brought to tears of gratitude in her call with a Medication Guide, put it this way: "I'm so grateful. You actually cared. I really appreciate what you've done."For the growing cohort of members who prefer to navigate opportunities on their own with the help of technology, WithMe has developed a consumer-grade mobile app that shares the clinical and cost savings opportunities that a Guide would otherwise raise with them.Going forward, WithMe will continue to bring its deep expertise in pharmacy benefits and medication guidance to partners in the ecosystem so that members can have a more integrated healthcare experience. And the market is taking note, too: as of 1/1/22, WithMe will have 10x the number of lives on the platform vs. the previous year, as more clients and increasingly larger clients are signing on to use their services. HTI'm so grateful. You actually cared. I really appreciate what you've done.--A WithMe member to a WithMe Medication Guide
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