Whether you’re leading a Medicaid, Medicare, Exchange, or commercial health plan, the Envolve family of companies will help you analyze the needs of your members, so you can provide quality, cost-effective care that’s right for them.
We’ll help you meet your financial and health outcome goals by providing tailored strategies, support, and flexible benefit management solutions to your organization. Envolve, through our family of companies, offers the following featured solutions for health plans & payers ensuring members get the best care possible:
Our specialty pharmacy provides care management services that focus on members with complex conditions, bringing a personal touch to specialty drug management. We understand that when patients and physicians have the proper resources to create and follow a unique treatment plan, health outcomes improve and costs go down. That’s why our specialty pharmacy program includes:
Cutting-edge technology and clinical expertise provide a total drug management solution that improves outcomes while maximizing savings. Our pharmacy benefit management (PBM) program is the 7th largest in the United States. We provide services tailored to the unique needs of your members and ensure medication adherence. Envolve’s PBM services include the following:
The On.Demand Diabetes Management Program offered by Envolve delivers the right intervention at the right time while reducing waste and removing barriers to member engagement.
This program allows members to better manage their diabetes diagnosis through improving clinical outcomes and lowering costs. The On.Demand Diabetes Management program helps by:
Historically, our Diabetes Management Program has delivered a 28% increase in compliance and a 6% decrease in members average glucose levels.
These metrics have helped achieve a 22% reduction in ER spend and 15% fewer ER visits per member per month. Learn more about the On.Demand Diabetes Management program.
Envolve proudly offers a 100% live-answer nurse advice line delivering an optimal experience while educating members on appropriate care and service levels. Our nurse advice line service is a 24/7/365 resource providing clinical support immediately from the comfort of home. The service features:
Our eye care services integrate evidence-based medicine and best practices to decrease exam and diagnostic claim costs. We can work with you to develop a flexible, customized vision plan best suited to you. Our vision solutions for health plans & payers include:
We offer comprehensive dental care through customized programs to deliver positive member outcomes and reduce administrative burden. Envolve is dedicated to improving oral health by delivering superior benefits like:
Our healthcare management services organization (MSO) solutions enable better, more efficient healthcare through best-in-class business administration services, data utilization, clinical excellence, and operational support. Just a few highlights of our services include: