Company Overview
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RJ Health offers a proprietary methodology and related solutions for reducing medical drug spend. We provide industry standard pricing, coding, dosing, weight, age, and diagnosis information for those drugs administered in professional settings. Using our uniform product suite of tools, analyses and data, we help you save time and money.
Why Choose Us
Specialty drug trend outpaces inflation and general healthcare costs significantly. Organizations need greater transparency, data and tools to effectively manage this trend. Whether it’s targeting outlier claims, analyzing therapeutic class costs, educating and building provider compliance or establishing reimbursement policy, RJ Health provides trusted solutions to the vast majority of US healthcare organizations, such as Health Plans, PBMs, Providers and Service organizations. RJ Health’s solutions help better control medical specialty drugs by cost, route of delivery, and therapeutic class, putting you ahead of specialty drug trend.
Clients receive greater transparency, more effective cost controls, and increased rebate income from their medical drug spend.
Our Mission
To provide transparency through industry standard specialty drug data that supports Payor / Provider alignment on Medical benefit drug reimbursement policy, claims analysis, care management and network management decisions.
We offer solutions that guide our clients’ management of drug trend in the most efficient way.
- Software as a Service (SaaS) applications for pharmacy, claims and finance staff.
- Customizable data that clients can integrate into operational systems for strategic enterprise initiatives.
- Analytics on unit cost (fees/costs/pricing) and clinical utilization to analyze, forecast and manage upward drug spend trends.
- Services for pharmaceutical manufacturers connecting them to our vast coverage of the payor market which ultimately improves reimbursement accuracy and relationships.