Care navigation tailored to health systems
Care navigation that supports your members and your bottom line.
We know how much healthcare system employees have on their plates, and how demanding their schedules can be. Our personalized care navigation support saves your people time, energy, and money—while driving utilization of your health systems' services.
Rightway care navigation makes the most of your health system.
Our industry experts guide your employees to your trusted in-system providers and facilities. By increasing utilization, we drive revenue for your system, minimize out-of-network costs, and help your people get the high-quality care they deserve.
Our model is built to meet
the needs of every member.
We support your employees with personalized guidance. Our coordinated care teams include nurses, social workers, and even billing experts to offer expertise and answers to any healthcare or benefits question.
What we offer
health system employees.
Modern technology
On-demand access suited for unpredictable schedules.
Your teams can access expert support through their 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.
- Get help with a bill or resolve a dispute.
- View benefit coverage and available health and wellness programs.
Benefits comprehension
A total understanding of their benefits.
Our care teams educate your employees on their benefits and answer questions on care options, coverage, and costs (so your teams don't have to). That’s a lot less work for a lean benefits team to manage.
Navigate across all benefits
A holistic view of your offerings.
We help members navigate major medical, dental, and vision carriers, and third-party point solutions. We know your benefits inside and out and make it a priority to drive your employees to the best care, including your in-system options.
Expert billing specialists
Help resolving frustrating billing and claims issues.
Whenever employees have billing questions, our billing specialists provide clear, timely support to resolve them.
Our in-depth support helps your team 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 our health system clients 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 better for healthcare workers, reducing costs for them and the health systems they serve. And we’ve got the data to prove it.
See our care navigation in action.
David’s knee pain.
We don’t just 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.
Unlike other PBMs, we have no conflict-of-interest partnerships and don't own dispensing assets. This means our goals are the same as yours: maximize domestic steerage, give your people the best service, and control costs. And as the only PBM with pharmacy navigation embedded into our solution, we provide unmatched support and take on time-consuming tasks so your employees don’t have to.
“We have lots of resources, and we want people to use them. What better time than during a conversation with a health guide to be referred into a program that's going to yield an outcome for you and also for our health plan?”
Healthcare support tailored to your health system
Rightway helps your people get the care they need, when they need it, all while maximizing value for your health system.
