Pharmacy Services

The PBM (Pharmacy Benefit Manager) model continues to evolve from a claims processor and a mail order pharmacy to a full-service trend management and clinical management company. As payors become more aggressive about their plan designs (i.e., limited formularies, limited networks, utilization management programs), communications to the member become more critical.

Consumers continue to bear more of the financial burden for their healthcare costs, but they have to wade through an uncoordinated body of information to understand their benefits and the right actions to take.

Silverlink works with our clients to help them identify the “teachable moments” to intervene with the member and help drive behaviors to:

• Minimize out-of-pocket costs (e.g., retail-to-mail, brand-to-generic)
• Minimize confusion (e.g., step therapy follow-up)
• Drive member satisfaction (e.g., refill reminders / transactions)
• Minimize inbound calls (e.g., order status)
• Improve healthy behaviors (e.g., adherence)

Our approach leverages our deep experience in the PBM industry along with our healthcare communications expertise to develop multi-modal solutions which use analytics to determine the right communication for the right member at the right time.  Our results drive dramatic improvements for our clients and our consultative approach has helped clients to redesign internal processes and bring new solutions to market.