Pharmacy Benefit management services

by RxAdvance

RxAdvance was founded in 2013 as a full-service pharmacy benefit manager (PBM) with a mission to redefine the PBM ecosystem though innovative platforms that provide efficiency, transparency, and real value to clients. RxAdvance now sits within the nirvanaHealth organization as its full-service PBM division. RxAdvance’s PBM services leverage the Aria platform to manage standard and specialty drug benefits. Our goal is to disrupt traditional PBM paradigms by providing unparalleled transparency, driving quality improvement, and reducing total cost of care through our innovative Aria platform and unique business models. We offer traditional PBM services, as well as specialty drug management and accountable care services.

Specialty Drug Management

Convert “buy & bill” to a value-based and outcomes-driven specialty management model. Specialty pharmaceuticals continue to contribute significantly to the rise in the nation’s drug costs. 

Accountable Care

Forty-five to fifty percent of the overall US population has at least one chronic condition, and one in four Americans have multiple chronic conditions. This population utilizes approximately 86% of the total US healthcare spend. While pharmacotherapeutic research has produced many novel therapies to reduce the disease burden of chronic conditions, many patients are still unable to control their illness due to prescription and care plan non-adherence.

At nirvanaHealth, we believe that engaging and motivating this population to take charge of their health early in their diagnosis will reduce avoidable medical costs significantly. Technology lies at the heart of nirvanaHealth’s solution. Smart-phones, machine learning, and connected devices are reshaping the way people interact with the world, and these same technologies should reshape healthcare. Aria delivers targeted actionable intelligence at all nodes of the care continuum, while continuing to support, educate, and engage patients as a companion in their health journey.

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RxAdvance is now nirvanaHealth.

Since 2013, the RxAdvance team has been dedicated to disrupting the healthcare industry, specifically in pharmacy benefit management. After 3 years of development, we went live with our first client in 2016 and delivered groundbreaking pharmacy benefit management services. Now that we have proven success year-after-year, we have decided to expand our impact beyond just the PBM industry—onto the payer industry. These two industries alone control the majority of the healthcare spend in the United States, including the $900+ billion of waste generated annually. With our expansion into a new portion of the industry, we have outgrown the RxAdvance name, since it does not accurately capture the scope of our healthcare reach and mission. We are excited to announce our new name and brand—nirvanaHealth. The RxAdvance name has served us well for many years and will continue to do so under nirvanaHealth.