PBMs & Pharmacy
Where Pharmacy Becomes a Performance Engine. PBMs and pharmacy organizations have more direct access to patient behavior than almost any other sector in healthcare — yet that access is chronically underutilized. HLTHWORKS partners with PBMs and pharmacy leaders to transform pharmacy’s role from cost management to clinical performance, growth, and AI-enabled patient engagement.
What we sell to PBMs and Pharmacy
- AI & Digital Health Enablement — Deploying AI-driven adherence, outreach, and clinical decision support tools that connect pharmacy data to measurable patient outcomes
- Patient Experience Design — Redesigning member-facing pharmacy interactions to improve satisfaction, adherence, and health plan Star performance
- Provider Engagement Strategy — Building pharmacy-provider collaboration models that improve medication management and close clinical gaps
- Revenue Growth Architecture — Identifying new value-based contract structures, health plan partnerships, and specialty pharmacy growth opportunities
- Star Pharmacy Performance — Connecting adherence, MTM, and formulary performance directly to health plan Star bonus revenue
Executive Audience
- CEO
- COO
- CFO
- Chief Clinical Officer
- CDO
- VP Client Relations
