Cost Management for
We know how hard it is for a plan sponsor to find quality care management for specialty prescriptions. Let us help you by discovering your company’s unique needs and researching the market for the best possible care.
Our promise to you
How we do it
High-Touch Care Management
Our team has extensive experience in specialty pharmacy, home infusion, and employee benefits management. We understand the unique needs of the specialty member, as well as how important it is to manage those complex conditions effectively. The goal is to help employers reduce their drug spend while allowing their employee to maintain their treatment regimen.
Our Care Coordinators are at the heart of our operation and work directly with members, plan sponsors, and any other vendors as required to complete program enrollment.
As a result, we’re able to effectively enroll members into programs at a very high rate.
All data is stored on our proprietary system, Velocity. Velocity uses secure servers backed by Amazon Web Services (AWS) with additional security built in. Velocity has undergone security audits and is constantly being upgraded to keep up with the latest security features.
Frequently asked questions
What are example criteria to qualify for these programs?Each medication and program may have different requirements, but they may include: Income, Clinical Appropriateness (diagnosis/indication), Medical Necessity, Age Requirements.Related questions
What if my income is too high to qualify? Do I still have to work with Payer Matrix and go through the program?
What if my income is too high to qualify? Do I still have to work with Payer Matrix and go through the program?We recommend that all employees seeking coverage, regardless of income, go through the same process with Payer Matrix.Related questions
How does Payer Matrix use my data?We use your prescription and treatment plan information in order to provide you with our advocacy services.Related questions
Schedule a consultation today
Are you ready to get the care you deserve? With PayerMatrix on-demand, we’re here when you are.