Rightway, the only PBM purpose-built for transparency and fiduciary alignment, has officially published the results from its 2024 PBM Annual Report, which confirms yet another year of record-breaking growth, significant cost savings for clients, and groundbreaking advancements in regards to member experience and clinical excellence.
According to certain reports, the company would go on to achieve 83% YoY growth in member reach, generating average savings of around $14.87 per member per month (PMPM) savings. This effectively reinforces Rightway’s ability when it comes to cutting down on costs without hidden fees or rebate games.
The company further realized an 11.2% decrease in member out-of-pocket costs to deliver direct savings at the disposal of members. Not just that, Rightway also clocked member NPS score of +78, which happens to be well above the industry average of +8.
Taking an even deeper view of the published report, it reveals that the company successfully achieved a +248% growth in processed claims YoY, while simultaneously instigating a +157% increase in inbound call volume. More on the latter would reveal how a larger chunk of members rely on Rightway’s pharmacist-led support rather than the traditional passive benefits administration.
Another detail worth a mention here is rooted in Rightway’s tendency to take no more than 16 seconds, on an average, per answer. This ensures that members can get immediate answers on medications, pricing, and cost-saving opportunities.
Joining that is the promise to deliver 100% claims processing accuracy. You see, while Rightway does a lot to actively accelerate the proceedings, it still makes a point to deliver flawless processing for every claim, accurate billing, and smooth operations for plan sponsors.
Turning our attention towards all the products and initiatives Rightway introduced during 2024, we begin from its all-new client reporting portal, which makes it possible for employers across the board to access real-time data on claims, member utilization, and cost-saving opportunities.
Such a system, like you can guess, treads up a long distance to eliminate the blind spots that PBMs have exploited in the past.
Next up, the company introduced a “Lesser of 4 Logic” algorithm. You see, unlike traditional PBMs that prioritize rebates over affordability, Rightway’s algorithm markedly empowers members to always pay the lowest available prescription price.
Apart from that, Rightway also made significant strides to expand its specialty pharmacy footprint. Here, the highlight was getting Walgreens as an anchor mail-order and specialty partner, something which would expand access to competitive pricing, and at the same time, give members greater flexibility.
Rounding up highlights would be a fact that the company also led all in its competitors when it comes to transitioning members to low-cost Humira biosimilars. To give you an example, Rightway drove a 77% reduction in Humira utilization and saved clients around $5 PMPM. It also secured a 99% member acceptance rate for biosimilar alternatives.
“Rightway is delivering the only pharmacy benefit built for employers and members—not hidden profits,” said Jordan Feldman, Co-Founder and CEO at Rightway. “We’re putting control back in the hands of plan sponsors while ensuring members get the best care and lowest-cost medications.”
Among other things, we must mention that Rightway is now the only PBM to embed pharmacy navigation into every member interaction; ensuring members receive proactive, pharmacist-led support. In fact, 100% of Rightway’s care team is made up of clinical pharmacists and pharmacy technicians.
This allows members to receive real and relevant guidance rather than having to rely upon automated call center scripts. The importance of such a factor can also be understood once you consider, during 2024, more than 53% of member interactions were with a pharmacist.
Founded in 2017, Rightway’s rise up the ranks stems from its member-first approach, which combines unmatched service with expert clinical guidance and advanced, intuitive technology. The company also leverages its status as the first PBM to offer fully aligned, pass-through pricing backed by a total spend guarantee to achieve measurable, dollar-for-dollar savings.
Rightway’s excellence in what it does can also be understood once you consider it serves, at present, more than 2 million members.
