Pharmacy Benefits Management

Through our strategic partnerships, CBCA offers innovative pharmacy benefit management plan options, customized formularies and integrated information systems to help coordinate care and identify chronic disease conditions for early intervention.

Encompass

CBCA’s all-inclusive Encompass allows our clients to reap the financial benefits of more conservative plans while providing members with the wellness resources and tools to achieve better health. Encompass combines empowering health tools, single-point access to comprehensive customer service, and financially guaranteed results.

Health Ticket™

Customized Health Tickets can be printed on demand by members or healthcare providers prior
to physician visit or hospital admissions. Listing personalized information such as co-pay instructions, deductibles and more, our Health Ticket clearly displays members’ financial responsibility. Armed with this real-time knowledge, members are empowered to make the
most responsible choice. Health Ticket simplifies the interface between the member
and the physician.

Health Interact™

Health Interact allows members to control their healthcare costs proactively with early disease identification and monitoring. Onsite health assessments including a blood draw is performed, and confidential results are back in members' hands within 72 hours. Health Interact provides physician confirmed results and enrollment in a patient self-management program for ongoing health maintenance.

OneCall

CBCA combats the confusion and frustration members often feel when dealing with difficult healthcare questions by providing a streamlined way to access their health benefits. Members use a single toll-free number to connect with our OneCall Concierge for convenient answers to all their questions. Expanded service hours, live operators, and reduced time on hold increases member satisfaction and maximizes their ability to be well-informed healthcare consumers.

Roadmap

Roadmap provides a focused approach to managing costs at a member and disease level within a population, by helping a client understand the illness burden of a population. By using Roadmap, a client can determine who is at high risk for increased cost, what diseases are present in a particular population, and what cost is associated with the existing illness burden. This allows the client to intelligently formulate a care and disease management strategy.

TelaDoc™

Sometimes in the daily confusion of work, family and personal commitments, taking time off to visit a primary care provider for a routine illness is simply not in your members’ schedules. But that doesn’t keep your members from feeling sick, performing poorly on the job or needing to take time away from work for what is often an easily diagnosed condition. Telemedicine is gaining popularity across all industry segments because it is quick, convenient, reliable and affordable. An estimated 72% of all primary care medical cases can be diagnosed over the phone. CBCA’s telemedicine support provides 24/7 access to board certified, licensed physicians to address a variety of routine health concerns and, when appropriate, prescribe medications. One simple telephone call to a physician will save a trip to the doctor’s office, reduce lost time at work and avoid a costly claim from an unaddressed health concern.

Community-Based Delivery Systems

We realize that the payor mix for all hospitals is changing rapidly. Between carrier based products and governmental sponsored programs, the number of programs that offer hospitals a fair reimbursement for their services is dwindling. We also appreciate that hospitals must examine how they can become a central point of health and wellness activities within their given community to rise above the status of a commodity provider of healthcare. Our innovative strategy to form community-based delivery systems, owned and managed locally, allows hospitals to become a solutions provider to local businesses while removing contracting leverage from major carriers.