Health Plans
Access to affordable health care is a top concern for consumers and payors alike. We can help.
As an aligned partner, we are committed to supporting health plans to achieve their goals.
We work shoulder-to-shoulder with your teams to deliver outstanding value and clinical care so that you can maintain focus on caring for and growing your membership.
Value
Our complete pass-through model returns 100% of all rebates and discounts to clients and delivers immediate value. We remove cost from the system. We don’t shift it. Navitus health plan clients realized an average reduction of 9% per member per month (PMPM) cost in 2021.
Service
Excellent service is our commitment. Working together from the start, teams will experience a partnership anchored in alignment. Navitus clients report nearly 100% satisfaction post-implementation.
Clinical Excellence
We believe that people matter most. Navitus members access URAC-accredited support models that further adherence and close gaps in care. Repeatedly, members confirm their satisfaction and willingness to recommend our services through an industry-leading net promoter score of 72.
Our flexible model allows for carve-in and carve-out services that support client preferences. For health plans participating in Managed Medicaid, Medicare Part D, and Exchange markets, dedicated experts support compliance and performance to changing requirements. This commitment is reflected in key performance metrics including:
- Prescription drug event (PDE) and encounters rates greater than 99% to facilitate timely and accurate plan submissions
- Achievement of 4.5 out of 5 stars or greater since 2015 by our MedicareRx EGWP PDP to support downstream customers offering EGWP