Overview

Optimizing Coverage with Precision Medicine

Empower members, reduce costs, and enhance value-based outcomes through data-driven pharmacogenomics.

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Overview

Health plans face increasing pressure to balance rising costs with quality care. PGxAI delivers actionable pharmacogenomic insights that help insurance companies and payors identify effective therapies, minimize adverse events, and improve overall member satisfaction. By integrating real-world data with advanced AI, PGxAI pinpoints the most suitable treatments from the start—lowering the financial burden of trial-and-error prescribing and unnecessary hospitalizations.

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Targeted Medication Choices: Slash avoidable spending by guiding patients toward genetically appropriate drugs.

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Reduced ER Visits & Readmissions: Minimize adverse reactions and preventable complications, positively impacting your bottom line.

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Aligned with Value-Based Care: Enhance member outcomes and quality metrics to maximize incentive payments and patient satisfaction.

Key Features

Serving every stakeholder in healthcare

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1

Cost Savings & Risk Reduction

Identify members at high risk of adverse events or therapy non-response. By offering PGx testing, payors can proactively steer at-risk populations to the most effective treatments, reducing costly hospital stays.

2

Population Health Management

Gain a clear view of potential drug-gene interactions across entire populations. Target interventions for chronic conditions like hypertension, diabetes, and mental health issues, optimizing therapy at scale.

3

Evidence-Based Coverage Decisions

Combine genetic data with real-world outcomes to refine formularies and coverage policies. Demonstrate a robust, data-driven rationale for your reimbursement frameworks.

4

Improved Member Experience

Minimized treatment failures and fewer side effects translate to higher patient adherence and satisfaction—a win-win for both members and payors.

5

Secure & Compliant

Built on HIPAA- and SOC 2–certified infrastructure, PGxAI ensures the highest standard of data privacy and security, even across nationwide networks.

Whats next

Ready to Transform Your Coverage Models with Precision Medicine?

Contact Our Payor Solutions Team

Collaborate on pilot programs, cost projections, and member engagement strategies.

Request a Demo

See how PGxAI’s insights can be integrated into your payor systems.

Learn More

Explore how our predictive analytics optimize both immediate cost savings and long-term health outcomes.