Payer Matrix - 3x3x3 Challenge With Heather Schiappacasse
Payer Matrix helps self-funded employers’ lower specialty drug costs and supports members through complex care with high-touch advocacy for specialty drug sourcing.
Transcript:
What is Payer Matrix?
Specialty drugs are one of the biggest pressure points today in healthcare. Less than 2% of the members use them, but they often account for more than half of the pharmacy spend. That imbalance puts serious strain on members and employees and leaves members feeling overwhelmed or unsure how to get medications they need. Payer Matrix partners with self-funded employers to help ease both sides of that burden. Our advocacy strategy for plans assist members with finding programs to help them source their prescribed medications. Our care coordinators walk members through every step from paperwork to phone calls, making sure nothing gets missed and no one feels alone. At the end of the day, it's about support and not red tape.
How is Payer Matrix different?
This is not just about reducing cost, it's about doing the hard work that actually makes a difference for people. Our care team includes pharmacy techs, nurses, and trained advocates who guide members through every step, from financial paperwork and sourcing, to eligibility reviews and follow up. We build our own platform Envoy to keep everything organized, secure, and moving forward. We're URAC accredited, which reinforces our commitment to quality and compliance. While others might pass a case along, or rely on automation, we work with the member through every step of the process. We stay close to the member, so that we can help eliminate the stress that comes along with being prescribed these medications.
Who is a good fit for Payer Matrix?
We're a great fit for self-funded employers, public sector plans, and Taft-Hartley funds who are struggling with the rising costs of specialty drugs. If you're seeing huge dollars tied to a small amount of members, or hearing complaints from employees who cannot afford what they've been prescribed, we can help. Members get a real person helping them through a stressful time, employers get cost control that is both meaningful and measurable. If you're looking for a smarter, more compassionate way to contain the cost of specialty drugs, we would love to be a part of that conversation.
This is how meetings are earned now. Three minutes to earn thirty.
Get your 3x3x3 Challenge → Limited slots each week.
Get started: pages.benefitsally.com/3x3x3
Transcript:
What is Payer Matrix?
Specialty drugs are one of the biggest pressure points today in healthcare. Less than 2% of the members use them, but they often account for more than half of the pharmacy spend. That imbalance puts serious strain on members and employees and leaves members feeling overwhelmed or unsure how to get medications they need. Payer Matrix partners with self-funded employers to help ease both sides of that burden. Our advocacy strategy for plans assist members with finding programs to help them source their prescribed medications. Our care coordinators walk members through every step from paperwork to phone calls, making sure nothing gets missed and no one feels alone. At the end of the day, it's about support and not red tape.
How is Payer Matrix different?
This is not just about reducing cost, it's about doing the hard work that actually makes a difference for people. Our care team includes pharmacy techs, nurses, and trained advocates who guide members through every step, from financial paperwork and sourcing, to eligibility reviews and follow up. We build our own platform Envoy to keep everything organized, secure, and moving forward. We're URAC accredited, which reinforces our commitment to quality and compliance. While others might pass a case along, or rely on automation, we work with the member through every step of the process. We stay close to the member, so that we can help eliminate the stress that comes along with being prescribed these medications.
Who is a good fit for Payer Matrix?
We're a great fit for self-funded employers, public sector plans, and Taft-Hartley funds who are struggling with the rising costs of specialty drugs. If you're seeing huge dollars tied to a small amount of members, or hearing complaints from employees who cannot afford what they've been prescribed, we can help. Members get a real person helping them through a stressful time, employers get cost control that is both meaningful and measurable. If you're looking for a smarter, more compassionate way to contain the cost of specialty drugs, we would love to be a part of that conversation.
This is how meetings are earned now. Three minutes to earn thirty.
Get your 3x3x3 Challenge → Limited slots each week.
Get started: pages.benefitsally.com/3x3x3
