XO Health Selects Capital Rx as its Exclusive Pharmacy Benefits Administrator
XO Health will leverage Capital Rx’s enterprise health platform JUDI® to enhance the efficiency of claims processing and provide transparency around pharmacy benefit administration costs to self-insured employers.
Today, XO Health, a pioneer in innovative health plan solutions, announced a new strategic partnership to streamline pharmacy benefits administration for self-insured employers. As XO Health’s exclusive pharmacy benefit administrator (PBA), Capital Rx will be pivotal in revolutionizing how pharmacy costs are managed in advanced payment models (APMs), directly addressing and reducing employer healthcare expenses.
Capital Rx’s state-of-the-art technology provides unparalleled real-time transparency and efficiency – at a time when new drugs are coming to market at astronomical prices – offering immediate insights into pharmacy pricing and utilization. With a proven track record of delivering exceptional results, Capital Rx’s process-driven approach and modern technology allow for consistent, reliable pharmacy benefit management, enabling XO Health to proactively manage and mitigate the factors driving up employer health costs.
“This partnership enhances our ability to effectively manage the total cost of care while improving the overall healthcare experience for members, providers, and our clients,” said Swati Mathai, founder and CEO of XO Health. “By bringing our next-generation APMs together with Capital Rx’s innovative platform, we can guarantee pricing for various episodes of care that account for up to 80% of medical and pharmacy cost, providing cost savings, transparency, and predictability for employers and their employees.”
The partnership builds on both companies’ commitment to innovation, clear pricing, and building a truly value-based care model for employers. By constructing a purpose-built plan from the ground up to deliver a patient-centered healthcare experience, XO Health is uniquely positioned to harness the power of Capital Rx’s innovative solutions. This alignment allows for the seamless integration of Capital Rx’s advanced analytics and real-time data, leading to more effective and predictable total cost management and the ability to reallocate resources toward improving client service, care, and outcomes for employers’ employees and their families.
“The future of healthcare lies in transparency, real-time data, and the ability to connect the ‘Four Ps:’ Payers, Providers, Patients, and Pharmacy,” said Dr. Sunil Budhrani, Chief Innovation and Medical Officer at Capital Rx. “XO Health selecting us as their exclusive PBA marks another step forward as we show how JUDI powers the workflows necessary to achieve this vision. Together, we will redefine pharmacy benefits administration, making it more efficient, cost-effective, and transparent.”