Adapting to changing consumer preferences

Payers must adapt their strategies to meet changing consumer preferences and keep members engaged. This eBook explores the challenges payers face, including payer-provider friction, social determinants of health, and rising costs.

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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

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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
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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
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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
UpToDate improves outcomes and clinical operations
Explore the reasons why clinicians choose UpToDate as a trusted resource to guide decision making — even when the evidence is unclear.
View Infographic
The digital transformation of healthcare organizations
Examining healthcare’s digital transformation, its challenges, and the value of harmonized care.
Read The Expert Insight

Three ways clinical decision support can benefit payers 

Evidence-based clinical information across teams can help payers improve processes, save costs, and improve their members’ experience and outcomes.
Read The Expert Insight
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.
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