Pharmacy Benefit Management Solutions | EXL

Working together to enhance quality of care while containing costs

The environment for PBMs continues to be challenging. Member and payer expectations are changing. EXL Health works with you to find ways to transform operations that reduce overall expenditures, improve pharmacy network performance, and ensure that members receive the best care possible.

EXL Impact

Powering the success of global industry leaders

EXL Health collaborates with you to help accelerate your organization by combining PBM domain expertise, analytics capabilities, data management, and digital assets

We partner with you to improve the consumer experience, enhance analytic offerings, address data gaps, and improve network communication and compliance.

Our collaborative approach helps you contain costs, enable capacity growth, and address quality care gaps.

Our pharmacy solutions

Evolving solutions for evolving needs

Data and analytics

Data and analytics

<p>We create the data management foundation to support advanced analytics, that help you gain insight to drive the best action.</p>

Payment Integrity

Payment Integrity

<p>Provide payment support for network contract management, rebate contract management, specialty and mail order pharmacy, and prescription claims</p>

Call center modernization

Call center modernization

<p>Improve member engagement, reduce AHTs, and better support representatives.</p>

Pharmacy quality and care management

Pharmacy quality and care management

Generative AI for healthcare

Generative AI for healthcare

<p>The implementation of cloud technology and the ability to use data at scale has been generating value in enterprises. Now, adding generative AI to this mix creates a catalyst to dramatically boost productivity and lower costs by assisting human interactions with automation</p>

Awards and recognition

Spotlight on achievements in excellence

Leader in Everest Group

A Leader in Everest Group's Payment Integrity Solutions | EXL (exlservice.com)

Leader in Everest Group

EXL is recognized as a Leader for its platforms, partnership ecosystem, and client satisfaction.

Leader in ISG Provider Lens Healthcare Digital services 2023

Leader in ISG Provider Lens Healthcare Digital services 2023

Leader in Everest Group

Leader in Everest Group Clinical and Care Management (CCM) Operations PEAK Matrix® Assessment 2023

Insights

Explore the latest perspectives

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Healthcare needs a generative AI strategy

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EXL PBM Solutions

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Call center transformation future-proofs PBM for lower c...

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