Smart Prior Authorization Engine
Our solution uses a rules engine specially designed to handle specialty drugs for more comprehensive coverage criteria than traditional prior authorization programs.
Savings Driven by Analytics & Intelligence Tools
Our Medical Specialty Drug Management solution, powered by Archimedes, LLC, brings employers significant medical specialty drug savings by utilizing:
- Smart Prior Authorization
- Retrospective Drug Utilization Review
- Site of Care Management
Retrospective Drug Utilization Review
By leveraging an industry-leading analytics platform, our solution can identify, intervene, and resolve previously undetected specialty savings opportunities.
Site of Care
Using detailed claims data analysis to identify members who are ideal for voluntary site-of-care transition, our solution reaches out to members and prescribers to encourage them to use the most cost-effective, clinically appropriate setting.
Powerful Reporting
Luminare Health also provides a suite of client reports to assess performance and manage spend of specialty drugs:
Spend across benefits
Savings opportunities
Specialty trend, utilization, and cost over time
Disease state
Top specialty drugs
Specialty therapeutic prior authorizations
