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FOR PBMs

The upstream solution PBMs need for downstream savings

Your clients demand lower medication costs. Regulators demand transparency. Members demand better health outcomes. Grokker helps you deliver all three by addressing health issues before they become prescription issues.
WHY FORWARD-THINKING PBMS PARTNER WITH GROKKER

Differentiate Beyond Rebates and Discounts

In a market where three PBMs control 80% of coverage, competing solely on medication pricing is a race to the bottom. Grokker helps you offer something your competitors don't: proactive health management that improves outcomes and reduces total cost of care.

Your competitive advantage:

  • Value-based contracting support with measurable health outcomes
  • Expanded service offerings that increase client retention
  • Demonstrated commitment to member health, not just cost-shifting
  • A defensible answer to "What are you doing beyond managing medication prices?"
SOLUTIONS THAT ADDRESS YOUR BIGGEST CHALLENGES
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NAVIGATE REGULATORY SCRUTINY WITH CONFIDENCEFacing increasing pressure around transparency and pricing practices? Demonstrate proactive investment in upstream interventions that genuinely improve member health. Grokker helps you tell a better story: you're not just negotiating rebates, you're preventing disease and reducing medication dependency.
NAVIGATE REGULATORY SCRUTINY WITH CONFIDENCEFacing increasing pressure around transparency and pricing practices? Demonstrate proactive investment in upstream interventions that genuinely improve member health. Grokker helps you tell a better story: you're not just negotiating rebates, you're preventing disease and reducing medication dependency.
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SUPPORT TRANSPARENT AND VALUE-BASED MODELSWhether you're a traditional PBM evolving your model or a transparent PBM from day one, Grokker aligns with value-based approaches. Show health plans and employers that you're managing total health costs, not just maximizing spread or rebates
SUPPORT TRANSPARENT AND VALUE-BASED MODELSWhether you're a traditional PBM evolving your model or a transparent PBM from day one, Grokker aligns with value-based approaches. Show health plans and employers that you're managing total health costs, not just maximizing spread or rebates
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REDUCE PRIOR AUTHORIZATION FRICTIONHealthier members mean fewer requests for high-cost specialty medications. Less time processing prior authorizations means lower administrative costs and better member and provider experiences. Grokker helps members achieve health goals that reduce their need for the most expensive interventions.
REDUCE PRIOR AUTHORIZATION FRICTIONHealthier members mean fewer requests for high-cost specialty medications. Less time processing prior authorizations means lower administrative costs and better member and provider experiences. Grokker helps members achieve health goals that reduce their need for the most expensive interventions.
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SCALE ACROSS YOUR ENTIRE BOOK OF BUSINESSFrom 500-life employer groups to health plans covering millions, Grokker scales seamlessly. Support diverse populations across 21 languages with content that meets members where they are—whether they're managing chronic conditions or trying to prevent them.
SCALE ACROSS YOUR ENTIRE BOOK OF BUSINESSFrom 500-life employer groups to health plans covering millions, Grokker scales seamlessly. Support diverse populations across 21 languages with content that meets members where they are—whether they're managing chronic conditions or trying to prevent them.

WHAT YOUR CLIENTS AND MEMBERS GET

For Health Plans and Employers

  • Lower total cost of care through reduced pharmacy utilization
  • Improved Star Ratings and quality metrics through better member health outcomes
  • Enhanced member satisfaction with proactive wellbeing support
  • Integrated solution that complements your pharmacy services


For Members

  • 4,000+ expert-led videos covering fitness, nutrition, mental health, sleep, and financial wellbeing
  • Personalized recommendations through GrokkyAi™ that guide them to the right interventions
  • Community support with challenges, social connections, and expert guidance
  • Accessible anywhere via mobile, desktop, and smart TV in 21 languages
  • Real alternatives to medication when lifestyle intervention is appropriate

The Grokker Advantage for PBMs

Proven Engagement That Drives Results

  • 2X higher engagement than alternative wellbeing providers
  • 82% active engagement rate across diverse populations
  • 100M+ activities logged annually
  • Measurable behavior change that translates to reduced medication needs


Fast Implementation, Immediate Value

  • Launch in 30 days with turnkey content and communications
  • Dedicated success partners to support your clients
  • Transparent pricing that's easy to build into your offerings
  • Minimal lift for your team or your clients' HR departments


Evidence-Based Outcomes

  • Validated through partnerships with leading healthcare organizations
  • Robust analytics and reporting to demonstrate ROI
  • Clinical outcomes that support formulary management decisions
  • Data integration capabilities to track medication cost impact

Real-world impact

A mid-sized health plan partnering with Grokker saw members achieve average weight loss of 5-7% through the Healthy Weight Suite outcomes comparable to lifestyle intervention studies without the $12,000+ annual cost of GLP-1 medications.

Members actively engaged in Grokker's stress management and mental health programs showed decreased utilization of anxiety and depression medications, reducing specialty pharmacy spend while improving quality of life. Healthier, more engaged members are more adherent to necessary medications. Better adherence means better outcomes and lower total cost of care—metrics that matter for value-based contracts.

STRATEGIC PARTNERSHIP BENEFIT

Expand your value proposition Move beyond traditional PBM services to offer comprehensive health management. Become the partner that health plans and employers can't replace because you're managing their members' total health, not just medication costs.
Improve client retention Integrated wellbeing services make your contracts stickier. Clients who adopt Grokker alongside your pharmacy services have higher retention rates and deeper partnerships.
Access thought leadership Leverage Grokker's research, white papers, and case studies to support your sales process and demonstrate your commitment to innovative cost management solutions.
Support multiple business lines Whether you're serving commercial groups, Medicare populations, or Medicaid plans, Grokker's platform adapts to different member needs and clinical priorities.

The bottom line

Every dollar spent on proactive wellbeing is a dollar saved on reactive pharmacy costs. Every member who achieves health goals through lifestyle intervention is one less high-cost specialty medication on your formulary. Every health plan or employer who sees lower medication trends through your partnership is a client who renews and expands.

Grokker doesn't replace your core PBM services, it makes them more effective by reducing the demand for expensive medications in the first place.