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PBM Solutions

Workers' Compensation / Auto/PIP

Workers CompensationEHIM provides pharmacy benefit management services for worker compensation/auto insurance benefits that truly make a difference. The EHIM Experience provides several benefits, including:

  • Cost containment strategies
  • Customized, injury based formularies
  • Full accountability of spend through detailed reports and analysis
  • Effective cost management strategies for short and long term claimants
  • Medication therapy management (MTM)

Workers' Compensation

EHIM provides customized pharmacy benefits to the workers' compensation industry. Our long-standing client relationships include insurance carriers, third party administrators (TPAs) and self-insured employers.

Our proprietary claims system uses the newest technology and allows EHIM to create custom, injury specific formularies to manage compensation claims from the first fill through the duration of the claim. Our clinical programs and clinical team support the case managers and adjusters to maximize channel utilization, dose optimization, and trend management.

Auto/PIP

EHIM offers a comprehensive suite of PBM services to the auto insurance industry. EHIM’s program is designed to simplify and streamline the claims process for caseworkers and adjusters while providing best in class service, reporting and savings. Our pharmacy programs are customized for each client to support injury-based formularies, first fill programs and limited fills programs as well as the long-term auto claims.

Through our strategic partnerships, EHIM can provide ancillary healthcare services, such as durable medical equipment to members. Our proprietary claims system supports our web portal for ease in use by administrators and our robust reporting tools to provide the overall accountability of spend, as well as detailed reporting on performance measures such as prescribing patterns, formulary adherence, utilization and dispensing rates.