.png)
Ushur for PBM & Pharmacy
Increase Adherence, Lower Costs, Win Contracts
Automation that cuts call center costs and delivers differentiated, white-glove member and provider engagement experiences.
Solving PBMs’ Most Persistent Pain Points
Rising Cost & Risk
- Non-adherence drives billions in avoidable spend for payers and PBMs
- Deliver proactive, personalized programs that improve adherence and set your PBM apart.
- Star measures for adherence are triple-weighted by CMS
Engagement Gaps
- Patients skip portals and IVR—yet 80 % of adults prefer texting
- Transportation, cost and side-effects often stay hidden until a crisis
- Seniors need clear, multilingual coaching they can trust
Workflow Strain
- Techs chase refill calls while clinical services compete for time
- Manual outreach can’t scale to thousands of chronic scripts
- Data silos make root-cause analysis painfully slow
Pre-built solutions for PBMs
Medication Adherence
Uncover barriers; tailor education and refill prompts close the loop via retail or mail order.
Prior Authorization
Streamline intake, documentation, and status updates—reducing provider abrasion and accelerating prescription access.
Specialty Medication Programs
White-glove automation programs (e.g. Weight Management) with proactive member outreach, education, and side-effect monitoring—differentiating service.
Care Gap Closure
Smart nudges close care gaps and boost quality scores.
Drive higher ROI across your organization
Combine solutions and see increased savings, better Star scores, and higher member satisfaction — all from one secure Ushur platform.
Get in touch and see how we can help reduce member churn and increase dollars saved.
How Ushur delivers ROI
Trust Built-In
Rest assured the proper protocols are in place to keep every interaction compliant and secure.
Trusted by leading healthcare companies
Transforming PBM Member Engagement with AI-Powered Workflows
- 25–30% completion across multiple digital journeys
- Faster resolution of prior authorization issues
- Improved adherence and reduced risk of costly escalations
.png)
IEHP reaches members and enhances engagement with Ushur
- 400+ campaigns, 1.5M members reached
- 200% enrollment goals reached
- +4M engagements launched with Ushur Invisible App for HIPAA-compliant, secure two-way communications — initiated via SMS
- No-code tools empower business users
Medicaid and Medicare Health Plan Leverages Ushur’s AI Agent
- Automate 21% of top call drivers like ID card replacements, benefits explanations & PCP updates
- Handle 18%+ of web traffic with self-service
- Deliver 24/7 support without increasing costs
Accelerating HRA Completion & Care Gap Closure with Ushur
- Boosted HRA completions for CMS compliance
- AI-outreach via Ushur Invisible App for HIPAA-secure two-way engagements
- Predictive analytics guided smart outreach
- 25% completion rate of HRAs within the first 90 days
- 740% increase in email follow-ups
- Closed care gaps, improving STARS ratings and HEDIS scores
