BOSTON — Scripta Insights, the Rx navigation company and Quantum Health, the leading healthcare navigation company, today announced a strategic partnership for pharmacy navigation. By integrating Scripta’s clinically governed prescription savings and guidance technology into its navigation suite, Quantum Health clients can lower total cost of care.
The partnership improves Quantum Health’s ability to support members and employers in managing prescription drug costs within the pharmacy benefit, an increasingly significant driver of total healthcare spend, while building on Quantum Health’s long-standing navigation model and clinical engagement approach.
Quantum Health has long worked with employers and members in navigating complex medical care and provider-administered therapies, bringing clinical expertise and human support to some of the most important and costly healthcare decisions. As prescription drugs filled through retail, specialty and mail-order pharmacies have become a larger and faster-growing driver of total healthcare spend, Quantum Health is extending the same level of focus, clinical rigor and navigation excellence to the pharmacy benefit—helping ensure everyday prescription decisions receive the same high-quality guidance as medical care.
“Pharmacy has long been a leading driver of employer healthcare costs, with complexity and spend accelerating alongside the growth of specialty drugs and high-cost therapies,” says Steven Knight, Chief Operations Officer at Quantum Health. “What stood out about Scripta is the clinical rigor behind its approach, guided by expertise from providers across multiple specialties. By enhancing our pharmacy navigation capabilities with Scripta’s clinically governed technology, we are strengthening how we support members and providers in making better prescription decisions while preserving quality of care.”
The integrated capabilities enhance Quantum Health’s existing pharmacy navigation approach by enabling more systematic identification of clinically appropriate, lower-cost alternatives and by supporting more consistent engagement with members and prescribers when opportunities to optimize therapy arise. The solution works within existing benefit designs and across any PBM arrangement, allowing employers to maintain current relationships while improving prescription decision support.
“Quantum Health has built a highly trusted navigation experience for members and employers,” said Eric Levin, CEO of Scripta Insights. “This partnership allows us to extend that experience more deeply into everyday prescription decisions. By strengthening pharmacy navigation inside Quantum’s existing model, we can help members access the right medications at the best price while giving employers a more effective way to address prescription drug costs.”
Through the integration, Quantum Health will enhance its ability to support:
● Personalized identification of prescription savings opportunities and next-step guidance for members
● Clinically supported engagement through Quantum Health’s interdisciplinary care team to encourage appropriate therapy changes, including biosimilars when appropriate
● Outreach to educate prescribers about medication alternatives aligned to plan design and clinical guidelines
● Reporting for benefits leaders to track prescription savings opportunities, actions taken and impact over time
● Targeted engagement strategies for rapidly evolving specialty medication populations
● Help self-funded plans offer transparency by surfacing drug pricing comparisons.
The partnership builds on Quantum Health’s continued expansion of its technology-enabled navigation platform and its focus on combining advanced analytics with human-led engagement to deliver better access and outcomes across the care journey.
With these enhanced pharmacy navigation capabilities, Quantum Health further strengthens its ability to help employers manage both medical and pharmacy spending within one coordinated navigation experience—supporting more consistent decision-making, improved member experiences and stronger total-cost management.
Scripta’s capabilities will be delivered as an integrated component of Quantum Health’s flexible healthcare navigation solution suite.
Scripta Insights currently supports more than 100 employer and health plan clients, has mapped more than 17,000 medications, and has generated more than $100 million in client savings, with a 5.05x lifetime ROI and 93% of prescription switches retained after one year.
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