Healthesystems

Healthesystems is a specialty provider of innovative medical cost management solutions for the workers’ compensation industry. Our diverse suite of services includes a leading Pharmacy Benefit Management (PBM) program and Clinical Review Services as well as a revolutionary Ancillary Benefits Management (ABM) program for managing and adjudicating ancillary medical services.

Leveraging powerful technology, clinical expertise and enhanced workflow automation tools, we provide clients with flexible programs that reduce the total cost of medical care while increasing the quality of care for injured workers.

We are committed to developing new ideas to help our clients navigate the complex workers’ compensation industry while achieving measurable results such as improved pharmacy transaction efficiency, network penetration and drug utilization.

Our services are tailored to each of our client’s needs to increase value and maximize results.

Services include:
A leading Pharmacy Benefit Management (PBM) program
Comprehensive Clinical Review Services
An unrivaled Ancillary Benefits Management (ABM) program
Trending and Data Analytics tools
Innovative Technology Solutions and Systems Integration Services