Improve benefit design
Achieve value, efficiency, and scale with evidence-based information
Payer medical management professionals can find improved efficiency and scale by integrating UpToDate to help power benefit design and delivery.
UpToDate is the evidence-based clinical decision support (CDS) solution that helps payers power care
Healthcare payers and pharmacy benefit managers with access to leading technologies can work toward improving processes and business decisions. For payer leaders and teams making clinical and benefit design decisions, choosing the right clinical and drug content solution for their teams can create a foundation for evidence-based decision making and alleviate a variety of challenges.
UpToDate provides evidence and medical knowledge to help your organization
Medical affairs
- Research epidemiology and treatment standards for diseases
- Evaluate the suitability of drugs for testing based on mechanism of action
- Support pharmacists on staff
Claims adjudication
- Confirm providers are following recommended treatment regimens
- Gain insight into creating treatment protocols to inform coverage decisions
- Learn about practice-changing updates for prior authorization and review boards
Care management
- Access point-of-care information to support active care roles and Medication Therapy Management
- Review data on specialty medications
- Use as support for developing formularies and coverage tiers
- Use as a quick knowledge reference for call centers
- Support genetic counselors
Evidence-based content that aligns across the healthcare ecosystem
Healthcare payers make decisions every day to help members access the right care in the right place. To be efficient, effective, and able to scale these decisions across an increasingly complex landscape, payers need trusted, evidence-based content that can adapt to their workflows. UpToDate is trusted across the healthcare continuum and can support the efforts of payer teams.
- Harmonize content and clinical decision by aligning to the CDS solution clinicians trust
- Ensure that benefit designs, claims management and other decision makers have current, accurate disease and drug information
- Provide your team with anytime, anywhere access to world-class medical information
Additional Resources
Multi-user subscription options for healthcare businesses
Submit an information request and a representative will contact you shortly about an UpToDate subscription for your business.