Medesto enables mid-market PBMs to operationalize smarter engagement, streamline prior authorization, and actively manage member populations using real-time clinical and claims-driven intelligence.
Event-driven member engagement that replaces manual outreach with automated, timely communication based on claims, adherence, and clinical triggers. Prior authorization acceleration using real-time clinical data to support faster, more accurate determinations and reduce rework.
Tier placement decisions backed by real patient outcomes, not assumptions or historical utilization patterns. Medesto structures the clinical data that demonstrates which therapies drive the best outcomes at the lowest total cost of care.
Member triage into cost-containment pathways through dynamic workflows, including program enrollment, data capture, and branching logic assessments.
Longitudinal visibility into therapy performance, enabling proactive intervention when therapies are ineffective, abandoned, or at risk.
Connect with our team to see how Medesto fits your workflow.