Minimizing Member Disruption
Personalized Member Transitions
Our Personalized Member Transitions (PMT) program helps plan sponsors and members navigate benefit changes with confidence. Through proactive outreach to members and prescribers, we minimize care disruptions, support treatment continuity, and improve satisfaction.
PMT supports member satisfaction with their benefit
Clinician-led outreach supports smooth benefit transitions and member peace of mind.
Benefit changes can be challenging—but our PMT program makes them easier. Our clinical team connects directly with members and prescribers to guide prescription changes, answer benefit questions, and prevent gaps in care. This high-touch support helps keep members stable on their therapy, reduces avoidable medical costs, and improves satisfaction year over year.
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PMT Overview
Effective, personalized care
Activate your formulary strategy with direct member engagement and transition support.
Our PMT program provides:
- Proactive member identification and outreach to address medication-related questions
- Member-specific support for completing a transition to a lower-cost, clinically effective drug alternative
- Faster adoption of lower-cost therapies and high member satisfaction in the experience
High-Touch Approach
How it works
Our PMT program follows a four-step process:
Member Identification: A clinical transition analysis identifies members on maintenance medications whose pharmacy benefits are changing.
Member Mailing: Identified members receive a clinical transition letter that outlines any impact on them and provides them options.
Member Outreach: A Navitus clinician proactively reaches out to discuss the benefit change, and ensures that members don’t go without therapy. They combine a human touch with clinical expertise to educate members, answer questions and discuss solutions.
Provider Outreach: Our clinicians don’t stop there. They complete the transitional care loop by also contacting the member’s providers to notify them of the benefit change and provide resources to facilitate any needed adjustments to medication therapies. If applicable, they will facilitate the request for a new prescription to be sent to the member’s pharmacy.