The HealthPlanView Difference
What does HealthPlanView offer over other formulary tools?
HealthPlanView is a next-generation solution replacing legacy formulary tools.
Increasingly complex cost-sharing scenarios are a mainstay of today’s healthcare ecosystem. This complexity has not been captured within legacy formulary tools, which ignore critical details such as deductibles, out-of-pocket maximums, and variability in benefit design. These complexities create barriers to adoption for innovative life-saving treatments. While insurer claims databases can provide some useful answers, the clarity of insights necessary to guide patient support program development, contracting strategies, critical decisions of brand teams, and field managed markets reimbursement support is often lacking.
Offers the same data as legacy formulary tools plus complex benefit design details across all plans:
- Formulary tier
- Preferred/Non-Preferred status
- PA requirements
- Step edit details
- Medical and pharmacy deductibles
- Out-of-pocket maximums
- Cost sharing (specific to therapeutic type and administration)
- Copays and coinsurance
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Extensive multi-level reach into payer coverage
13,000 commercial plans across 290 insurers
3,700 Medicare plans across 250 insurers
Highly accurate and timely insights
uses multiple data sources to extract coverage information and screened for accuracy by market access experts, immediately after payer update triggers
Complex benefit design details
greater detail into prior authorization requirements, step edit details, indemnity breakdown, and patient cost sharing information
Intuitive interface with granular access
an easy-to-use interface to delight users and accessible from all devices