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EmpiRx Health debuts Clinically platform

The new AI-powered technology platform supports pharmacy claims adjudication, clinical reviews and a population health engine, the company said.
Levy

EmpiRx Health is unveiling Clinically, an AI-powered platform that integrates technologies that support pharmacy claims adjudication, clinical reviews and a population health engine that powers the company's PBM model.

As a modern, scalable pharmacy care platform, Clinically enables a unified technology and data experience, the company said. This is designed to allow EmpiRx Health’s clinical pharmacists to have a comprehensive and holistic view into whole patient health.

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“Our new Clinically platform clearly demonstrates EmpiRx Health’s strong commitment to transforming the pharmacy care industry by creating the PBM of the futureone that’s already providing the highest quality service to customers, patients, and advisor partners,” said Danny Sanchez, CEO of EmpiRx Health. “This PBM revolution was long overdue. Far from helping plan sponsors to manage and lower drug costs, the traditional PBM model, which prioritizes drug volumes and rebates, leads to a vicious cycle of rising prescription drug costs without the promise of improved patient health outcomes.”

Sanchez continued, “Clinically not only helps us to consistently deliver superior, clinically-driven pharmacy care, it exemplifies how EmpiRx Health really is an essential ‘ally’ in helping plan sponsors to holistically care for their members to optimize healthcare outcomes and strengthen benefits plan results.”

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EmpiRx Health’s new Clinically platform was built on the following pharmacy care technologies:

  • Claims Adjudication Platform – EmpiRx Health integrated a proven, cloud-based adjudication platform into Clinically. Providing real-time pharmacy claims adjudication, this platform also features network and plan management support, and customized workflows for pharmacists.
  • End-to-End Clinical Review Process Software – Also integrated into the Clinically platform, this software enables EmpiRx Health pharmacists to conduct their clinical reviews, leading to drug therapy decisions that optimize patient health outcomes while lowering costs.
  • Population Health Engine – Based on the Johns Hopkins ACG model, EmpiRx Health’s proprietary population health engine is built using cloud-based, AI-powered software. Providing risk stratification and predictive modeling, this population health technology enables EmpiRx Health pharmacists to make the right clinical decisions, especially for patients who require a higher level of complex care.
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