Medication/Pharmacy

• NavMD offers various solution options to help with pharmacy costs.
• A specialty medication solution that costs nothing to implement with a 92% effective savings rate. This typically saves 11% on the overall plan spend.
• An overall pharmacy solution that offers a white-glove concierge treatment to target the 2% of pharmacy medications that drive 40% to 50% of the costs.
• A pharmacy mail program solution that comes with no access fees, no PMPM, and no implementation costs and offers two ways to save:
  • Employers can add an all US-based pharmacy benefit alternative. This delivers generic prescription medications conveniently to the member’s home and typically saves 15% to 25%.
  • Employers can add a covered drug list that Health Canada approves, where prescription medications are shipped from Canada in the original manufacturer’s packaging to the member’s home. This typically saves the plan 40% to 50%.

Mental Health

Our partnered mental health solution provides a digital health and behavior change application designed to help employees improve their lives, find deeper healing and recovery, boost productivity, and increase your bottom line. It targets personal growth/overall wellbeing, depression/anxiety, sexual compulsivity, and substance abuse. Users on the self-guided portion of the app experienced about a 25% decrease in depression levels, whereas high level users, who utilize the virtual therapy aspect, reported an 88% decrease in depression levels. ROI is 5.86:1!

Cancer Care

NavMD has a solution partner that works directly with members to drive earlier diagnosis of cancer, ensuring the right diagnosis and proper treatment. This saves self-funded groups significantly while improving outcomes and providing VIP treatment to each engaged member. Expected ROI is 4:1.

Chronic Disease

Our chronic disease state management solution targets asthma, COPD, diabetes, heart disease, high blood pressure, high cholesterol, mental health, migraines, osteoporosis, pain, and specialty disease states. This solution is ideal for self-funded groups that are 250 in size or greater and guarantees a 1:1 return, with typical return of 3.6:1.

Kidney Disease/Dialysis

This NavMD solution works with self-funded groups to help prevent or delay the progression of kidney disease to dialysis (without a PEPM) through chronic kidney disease management. This unique solution also saves an average of 80% on dialysis.

Surgery

This NavMD solution offers self-funded plans high quality surgery in an integrated surgical network in 30 states. Surgical procedures account for about 1/3 of the overall health plan costs! By moving these procedures outside of the hospital and bundling payments, employers are saving 25% to 35%!

Zero Member Costs

This solution helps self-funded plans save money while the members have zero costs for labs, imaging, physical therapy, gastrointestinal, orthopedic, spine, general surgery, Ear/Nose/Throat, pain management, sleep studies, and women’s health. The current eligible markets include Texas (Austin, Dallas, Fort Worth, Houston, and San Antonio), Oklahoma (Oklahoma City and Tulsa), as well as the following cities: Chicago, Denver, Kansas City, and Phoenix.

Provider Finder & Bill Assistance

This NavMD solution allows medical cost transparency for self-funded plans in regard to outpatient medical care. This is done through an easy tool that allows members the capability to find high-quality and low-cost providers. This solution has an average savings of 30% on outpatient care, which impacts the overall healthcare costs by 9%! They also help decrease hospital bill costs at non-profit facilities for those that qualify.

What’s Next

At NavMD, we’re constantly adding new partners as we continue to expand our solutions offerings. Soon our solutions partners will included vetted providers in:

• Pharmacogenetics
• Remote Patient Monitoring
• Wellbeing
• StopLoss
• Direct Primary Care

Recommend a Solutions Partner