Benefits only work when members act. Wizia makes the action happen.

Wizia determines which member needs which intervention, when, activates the right trusted channel and incentive, and measures what changed.

See how it works
L
Lakeside Health Plan
Today 11:34 AM
Your MRI at Midtown Imaging is scheduled for the 14th. Same scan, same network, 9 minutes away: $640 instead of $2,890. Want our concierge to move it?
Yes, please
Done — same time, new address. Your scheduling app has the updated details.
Employers

Activate the programs and savings already in your plan

Explore Wizia for employers → Medicare plans

Put gap-closing capacity where it will produce the most value

Explore Wizia for Medicare plans →
The coordination gap

Connect the right member, program, and intervention at the right moment.

Carrier, PBM, provider, navigation, Center of Excellence, and point-solution workflows each see part of the member journey. Wizia works across them to recognize a decision window and coordinate the intervention most likely to help.

Carrier / TPA
PBM
Provider
Navigation / CoE
Concierge

Outreach works when the right person hears from the right source at the right moment.

01 — TARGET

Target the right member

Combine opportunity value, eligibility, behavior, and clinical rules to focus attention.

02 — TIME

Detect the decision window

Act before a refill, authorization, appointment, or procedure choice becomes final.

03 — ACTIVATE

Choose the trusted channel

Use the member's doctor, pharmacist, scheduling app, plan, vendor, or concierge.

04 — MOTIVATE

Apply the right rule

Pair guidance with the right incentive, benefit differential, mandate, or plan-design recommendation.

05 — VERIFY

Verify the completed action

Confirm what happened in claims, pharmacy, vendor, scheduling, or provider data and measure the result.

A formulary opportunity becomes a verified medication switch.

1

Detect

Pharmacy claims show a member approaching a refill for a non-preferred medication with a clinically appropriate formulary alternative.

2

Apply plan rules

Eligibility, clinical exclusions, formulary terms, and the member's expected out-of-pocket difference are checked before activation.

3

Activate a trusted source

A plan pharmacist reviews the opportunity, calls the prescriber, and coordinates the switch. The member sees the update in the pharmacy app.

4

Verify and measure

The preferred fill appears in the Rx feed. Wizia records the completed action and direct unit-cost difference.

Illustrative: $86 lower monthly plan-and-member cost
Trusted activation

Pharmacist-led medication switch

The member does not need to trust an unfamiliar sender or navigate a new portal. Wizia coordinates the people and systems already involved in the decision.

  • Pharmacist review
  • Prescriber handoff
  • Scheduling-app confirmation
  • Completed fill in the Rx feed

Measurement built into every intervention.

Wizia connects each completed action to its clinical and economic result, giving plans a clear view of what changed.

Illustrative for a ~5,000-life plan

Monthly Activation Report

Verified action Completed Measurement class Value
Generic & formulary switches 41 Direct unit-cost difference $38,400
Imaging moved to fair-price sites 17 Direct episode difference $51,300
Procedures routed through CoE 3 Evaluated downstream savings $46,500
Preventive gaps closed 63 Completed action —

Illustrative report. Each line connects a completed action to the result it produced.

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Choose the path that fits your population.

Employers can map plan opportunities. Medicare plans can design a focused gap-closure pilot.

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