Right Drug. Right Price. Real-Time.

CEO
Kyle Kiser
Founded
2013

Problem Tech Solves

Now more than ever, patients are asking for increased price transparency and lower-cost options when considering care. They are becoming active consumers, and want to feel empowered when making decisions about how they spend their money. At the same time, healthcare organizations are looking to improve margins by streamlining processes and reducing unnecessary administrative work. In many cases, care teams spend upwards of 20 hours a week focused on prior authorizations and pharmacy callbacks - time that could be better spent interfacing with patients. Finally, providers are often striving to improve patient conversations and the overall patient experience. They are asking for easy-to-use tools that provide accurate patient data and can help them make informed decisions at the point-of-care. Deloitte Insights recently found that 72% of physicians value pricing information, but only 28% have access to this information at the point-of-care. Data accuracy and interoperability, especially within the EHR ecosystem, are of the utmost importance when thinking about patient outcomes, and RxRevu is working to connect disparate data sources to greatly improve care workflows. RxRevu's Real-Time Prescription Benefit solution empowers patients and providers with accurate, patient-specific coverage and cost information. This EHR-embedded technology flags medications that require prior authorization and recommends lower-cost options. The technology also improves patient relationships with their providers, and allows health systems to improve medication adherence, reduce administrative burden, and drive revenue to their in-house pharmacy options. By better aligning financial expectations and clinical decision support, we are able to improve patient outcomes and access to information.

Tech Brief

RxRevu's Real-Time Prescription Benefit solution is an EHR-integrated price transparency and benefits coverage solution. Through direct connections to the nation's largest payers and PBMs, the solution brings real-time, patient and pharmacy-specific cost information, coverage restrictions, and medication alternatives into native EHR workflows. Giving providers drug cost information at the point-of-prescribing enables better patient conversations and care at prices they can afford. In addition to its core functionality of displaying drug alternative, drug form, pharmacy location, mail-order, and quantity options, we've also created a partnership with GoodRx to provide coupon options to those who are looking for additional savings opportunities. Over the last year, we have enhanced our Real-Time Prescription Benefit solution to offer unique features that enhance usability, including: - Full API integration with Epic, Cerner, and athenahealth EHRs to allow for seamless onboarding, usability, and one-click prescription decision-making - Data connections to the largest payers and PBMs to display actionable drug alternatives at the point-of-care - Accurate, patient-specific cost information, helping patients know the cost they'll pay before visiting the pharmacy, without the use of estimates or historical data - The display of in-house pharmacy options through a unique combination of health system and location-based data feeds to support health system revenue initiatives - Robust behavioral reporting to understand and improve prescribing behaviors

Tech Differentiators

RxRevu offers the most accurate, patient-specific RTPB solution in the market, and is the most innovative offering in the EHR category. Many tools aggregate historical data to show estimated patient costs. Instead, we have direct connections with the largest PBMs in the country to show the exact cost the patient will pay at the pharmacy, in real-time. Further, RxRevu is health-system owned and collaboratively led by its client community. This means that we focus on enhancements our health system clients want and develop meaningful product updates and innovative features. An example of this includes our ability to display the price of medication at in-house pharmacies for the sole benefit of the patient and health system. Additionally, RxRevu is singularly focused on being the best EHR-integrated RTPB vendor in-market. This allows us to iterate on our offering, and develop features like: providing clinically-relevant alternatives at the point-of-care; filtering out first-line therapies when second-line therapies are prescribed; and matching drug form quantities ordered with payer/PBM standards (mL, gram, each) to reduce error rates in transactions. RxRevu is tightly aligned with the goals of organizations like UCSF, and we are continually working to improve the flow of information to every meaningful constituent within the health system. Unlike many vendors in this category, we offer our solution at NO-COST to health systems - which allows us to singularly focus on driving improved patient outcomes, lower costs, and better access to information.

Validation

Yes, RxRevu's Real-Time Prescription Benefit solution delivers as promised. We recently ran an analysis for UCHealth, one of our current clients in Colorado. Across the first half of 2021, 4,000 physicians requested information through our tool and nearly 3,000 prescriptions a day were ordered with pricing/coverage information present (149k patient interactions where RTPB was utilized, 192k alternatives presented). We measured more than 50 hours of time saved by avoiding prior authorizations, and more than $150,000 in patient savings! We also piloted new functionality with UCHealth to display their pharmacy options in workflow. Without educating physicians on this new functionality, we measured a +3% change in prescribing behavior, driving millions of dollars in revenue back to the health system. Some quotes from end-users and physician leaders include: - "RxRevu is transforming how we prescribe." - “For every callback from a pharmacy, we average half an hour of work and everyone gets involved. It’s a huge waste of time. RxRevu helps us avoid prior authorization altogether.” - "This took two seconds and saved the patient, the pharmacy, and our clinic the hassle of dealing with this substitution, in addition to saving the patient $200. That's the difference between the patient picking up and taking their med, and skipping it altogether." - “The transparency is really helpful - seeing the popup is much more efficient than a call to the pharmacy.” - “This is fantastic! Especially for meds where there are plenty of alternatives, but it’s not easy to know which one is going to be covered.”

Why Us

RxRevu is dedicated to bringing the most valuable, actionable data to the point-of-care. WIth our EHR-embedded technology in the hands of physicians across the country, we are not only improving provider workflows, but driving access to care, reducing medication costs, and improving patient outcomes.

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