How our solutions reduce high cost medication spend

WHAT WE DO

Core capabilities

Evio has advanced analytics and contracting capabilities at scale, and a suite of digital tools, to power our solutions for high-cost medications. Our solutions act as a self-reinforcing “flywheel” where each element strengthens and feeds into the next.

Real-World Evidence Analytics at Scale

Innovative Medication Contracts at Scale

Medication Insights Delivery

Medication Outcomes Verification

Our approach

Medication solutions for health plans

High-cost and specialty medications account for a majority of medication spend for health plans and patients alike and are typically used to treat complex or chronic medical conditions. With five prominent owner health plans that serve more than 20 million members, Evio has advanced analytics and contracting capabilities at scale, and a suite of digital tools, to power our solutions for high-cost medications.

Real-World Evidence Analytics at Scale

Proprietary real-world evidence (RWE) to help Evio's health plan customers and local providers understand which medications create the best outcomes for specific groups of patients.

Evio’s insights also help health plan members access these medications in a simple and affordable way, while offering health plans the right outcome metrics and warranties to ensure performance. Evio’s studies and recommendations come from the industry’s most advanced, health plan-led RWE and advanced analytics capability.
Scale

More than 20 million lives of medical and pharmacy claims data. Five years of longitudinal data.

Experts

Nationally recognized team of health economics outcomes research specialists and clinical pharmacists with cross-disciplinary skills and 30+ years of experience.

Aetion Evidence Platform

The Aetion Evidence Platform enables rapid, rigorous, and replicable RWE studies in a secure cloud environment.

Actionable insights

RWE studies produce medication-specific analyses that impact health plan strategies and workflows, delivered in the interactive Evio Insights portal.

Who this helps

Health plans

Helps health plans make strategic formulary and benefit design decisions, decrease medication waste and spend, lower costs through better patient outcomes, and understand drug effectiveness.

Pharmaceutical manufacturers

Informs creative value-based contracting opportunities by revealing comparative medication effectiveness. Study findings highlight positive clinical outcomes to prove the value of certain medications.

our PRODUCT

Evio Insights

Evio provides plan-specific solutions to maximize impact from RWE research findings — playbooks containing the full studies, patient specific intervention recommendations, interactive cloud-based  dashboards, and personalized in-workflow outreach to providers.

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Innovative Medication Contracts at Scale

Evio has designed a transparent, alternative business model to implement direct purchase and value-based agreements with pharmaceutical manufacturers. These agreements make highly effective treatments accessible to our owner health plans and their members.

Direct purchase model

Innovative direct purchase business models with pharmaceutical manufacturers leveraging Evio-generated Real-World Evidence to increase transparency, streamline delivery of care to patients, and lower total cost of care.

Value-based agreements

Design and administration of value-based agreements to align incentives between Evio’s health plan customers and pharmaceutical manufacturers, promote effective medications, and mitigate risk of failed treatments.

Who this helps

Health Plans

Evio’s transparent arrangements reduce cost and complexity in the system, offering health plans and their members effective medications without barriers and added cost.

Pharmaceutical manufacturers

Customized partnerships for innovative manufacturers to build a cost-effective market access strategy.

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Medication Insights Delivery

Informed medication choices

Evio Connect offers technology-enabled education to help providers understand RWE-informed medication recommendations and sites of care.

A better experience

Deep focus on enhancing and creating an exceptional member and provider experience through efficient process and workflow-embedded tools.

Who this helps

Health Plans

Evio Connect delivers medication recommendations to the point of prescribing so health plan members have access to the right medication, leading to reduced costs and better clinical outcomes.

Providers

RWE-informed medication recommendations appear in provider electronic medical records, and/or plan tools, ensuring providers have the most up-to-date, scientific, and personalized patient care information.

our PRODUCT

Evio Connect

The technology pipes to deliver RWE-informed patient insights to the point of prescribing. Targeted messages appear in EHR workflow and other provider tools.

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Medication Outcomes Verification

Patient tracking

Proprietary Evio Engage platform to collect data from claims and providers to utilize for longitudinal patient tracking, analysis, and validation.

Patient-reported outcomes

Analytical validation of outcomes, collecting new data elements, and patient-reported outcomes to inform real-world evidence analytics and medication contracting.

Synergie Medication Collective

Evio enables the Gene + Outcomes program of Synergie Medication Collective across more than 60M lives. Synergie’s value-based cell and gene therapy contracts are administered using Evio Engage.

Financial reporting

Analytics and reporting on rebates, warranties, and other outome-related payment calculations.

Who this helps

Health plans or employers

Proprietary Evio Engage technology gathers and analyzes drug effectiveness data, enabling value-based contracts with pharma.

Providers

A single technology platform for data collection to serve patients across several health plans and employers.

Pharmaceutical manufacturers

Proprietary Evio Engage technology gathers and analyzes drug effectiveness data from patients using the medication, which enables our value-based contracts.

our PRODUCT

Evio Engage

The technology platform that enables simple data collection from physician offices to monitor patient outcomes on medications over time.

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Learn more about our company and values

Learn more about us