CARE NAVIGATION WITH CLINICAL EXPERTISE
The perfect balance of high-touch, clinical, and cost-effective support.
Rightway’s care navigation pairs comprehensive support from experts with advanced technology to get members the best results—without the high price tag. Our premium care navigation is the best of all worlds, and helps your members get the most from the benefits you already offer.
Other care navigation solutions don’t solve much.
Most care navigation solutions are either outrageously expensive, outdated, or outsourced to call centers that leave members so frustrated that they’d rather find their way through healthcare on their own. For so-called solutions, they really don’t solve much.
We don't just wait for problems.
Real care means reaching out first.
We take a proactive approach to support that helps keep your members engaged, healthy, and equipped to make the most from their benefits. We help them stay on top of their health, preventing unexpected costs along the way.
What we offer.
Access to experts
On-demand access to a deep roster of experts.
Our clinically-led care team is made up of seasoned healthcare professionals who handle the questions, confusion, and care coordination. From booking appointments to fixing billing issues, we do the legwork for you and your members.
Modern technology
Smart, simple technology that puts personalized support in every member’s hands.
With just a few taps, members can connect to care, understand their benefits, and get help when they need it. Members can use the mobile or web app to:
- Chat with care teams in real-time (including nights and weekends).
- Receive personalized clinical guidance.
- Find providers and schedule appointments.
- See benefit coverage and available health and wellness programs.
- Get help with a bill or resolve a dispute.
Benefits comprehension
A total understanding of their benefits.
Our health guides educate members about their benefits and answer their questions on care options, coverage, and costs. That’s a lot less work for a lean benefits team to manage.
Unified benefits ecosystem
A common thread across your entire ecosystem.
We integrate across your benefits ecosystem so your members have centralized access to major medical, dental, and vision carriers, as well as third-party point solutions. With our support, they can choose in-network options and cost-effective care, effortlessly.
Expert billing specialists
Help with bills, claims, and time-consuming tasks.
When members have questions, our billing specialists carefully review the bill for errors. If anything looks off, they manage the dispute submission and resolution, coordinating between providers and insurance companies, saving your members hours, dollars, and endless frustration.
Our in-depth support helps
benefit teams do more with less.
We deliver unmatched member support, including handling tasks on their behalf, so your team isn’t stuck solving benefits issues. We keep your employees healthy and cared for, freeing you up to focus on what matters most.
we support employers with:
Personalized strategies that activate and engage employees. We know how to help your members take action.
Full-stack benefits support on everything from coverage questions to bill resolution. Nothing is off limits.
Bespoke solutions for every member problem. We don’t do one-size-fits-all, because your members deserve more.
Predictive analytics that identify at-risk members and close care gaps. We get ahead of issues before they happen.
Well-managed, high-touch implementation that makes transition a breeze. Our team does the heavy lifting, so yours barely has to lift a finger.
Proven methods to reduce costs by addressing care gaps, minimizing ER visits, and improving access to high-quality, affordable care.
We focus on the metrics that matter.
We make healthcare work for your members and save you money. And we’ve got the data to prove it works.
See our care navigation in action.
David's knee pain.
We don’t just promise to save you money. We guarantee it.
Our care navigation model is proven to reduce healthcare spend by 15%, and we guarantee a 2x ROI in year one. We stand by our approach because we know it works, and because you and your people deserve a benefits partner who takes accountability.
The industry's only neutral PBM
Want the full benefit of Rightway? Upgrade to the industry’s only neutral PBM.
80% of physician visits result in a prescription, making medication a major driver of total healthcare spend. Our neutral PBM actually does what all PBMs should: drives every prescription to the lowest net cost. And we bring the same top-tier service to our PBM members, too, because great service is in our DNA.
“Rightway helped us reduce our total healthcare spend by 5% and non-catastrophic spend by 9%, while engaging 62% of our employees in the first year.”
Trusted by leading organizations
Employees are more productive when their healthcare needs are met. So are their benefits leaders.
