About
Rightway Healthcare is an employer-facing healthcare benefits platform combining a neutral Pharmacy Benefit Management (PBM) solution with high-touch clinical care navigation. Unlike traditional PBMs that profit from opaque rebates and misaligned partnerships, Rightway operates on a single, transparent fee — a 100% pass-through model built by pharmacists to serve members rather than middlemen. This approach enables employers to capture genuine pharmacy savings (averaging 15%) without compromising member experience. On the care navigation side, Rightway's clinical teams proactively reach out to at-risk members, help employees understand and maximize their benefits, resolve billing issues, and guide individuals to the highest-quality, most cost-effective care options. The platform integrates seamlessly with existing benefits ecosystems and third-party administrators (TPAs). Members access their benefits through an intuitive mobile (iOS/Android) and web app, simplifying healthcare and drug benefit management in one place. Implementation is fully managed by Rightway's expert teams with 360° transition support, handling the heavy lifting from day one. Accountability is baked in through quantifiable guarantees — including per-member-per-month (PMPM) spend ceilings and measurable ROI commitments. Rightway is trusted by leading organizations across industries and is particularly well-suited for mid-to-large employers seeking to replace underperforming, non-transparent PBM arrangements while improving overall workforce health and productivity.
Key Features
- 100% Pass-Through PBM: Rightway charges a single transparent fee with no hidden rebates or misaligned revenue streams, ensuring pharmacy savings flow directly to employers and members.
- High-Touch Clinical Care Navigation: Dedicated clinical teams proactively reach out to at-risk members, help resolve billing issues, and guide individuals to the best-quality, most cost-effective care and medications.
- Intuitive Mobile & Web App: A consumer-grade iOS and Android app gives members easy access to their healthcare and drug benefits, support resources, and personalized recommendations in one place.
- 360° Transition & Implementation Support: Rightway manages the full transition process with expert-led execution and dedicated account support, minimizing disruption for employers and HR teams.
- Guaranteed Accountability & ROI: Employers receive quantifiable guarantees — including PMPM spend ceilings and measurable return-on-investment commitments — ensuring Rightway is accountable to results.
Use Cases
- Mid-to-large employers replacing a traditional, opaque PBM with a transparent, pass-through pharmacy benefits solution to reduce drug spend.
- HR and benefits leaders seeking to improve employee healthcare navigation, reduce benefits confusion, and increase utilization of existing benefit programs.
- Organizations with high-risk member populations that need proactive clinical outreach and personalized care coordination to improve health outcomes.
- Companies looking to consolidate pharmacy and care navigation into a single, integrated benefits platform with a unified member app experience.
- Benefits teams that need guaranteed, measurable ROI from their healthcare vendor relationships rather than vague or unverifiable savings claims.
Pros
- Fully Transparent Pricing: The 100% pass-through model eliminates hidden rebate games, making cost structures easy to understand and audit.
- Industry-Leading Member Satisfaction: A member NPS of 70 — 8.5× the industry average — demonstrates consistently exceptional member experience.
- Proven Cost Savings: Employers achieve an average of 15% in healthcare and pharmacy savings, with case-study clients reporting 13%+ reductions.
- Clinically-Driven Expertise: Built and staffed by pharmacists and clinical professionals, ensuring medically sound guidance rather than generic customer service.
Cons
- Enterprise / Employer Focus Only: Rightway is designed for employer groups and is not available as an individual consumer pharmacy or health benefit product.
- Pricing Not Publicly Disclosed: Custom pricing requires a sales consultation; there are no self-serve plans or public rate cards for smaller organizations to evaluate upfront.
- Requires Implementation Transition: Switching from an existing PBM or benefits stack involves an onboarding period, which may require coordination across HR, TPA, and carrier partners.
Frequently Asked Questions
How is Rightway's PBM different from traditional pharmacy benefit managers?
Rightway operates on a 100% pass-through model, charging employers a single transparent fee rather than profiting from drug manufacturer rebates or spread pricing. This aligns Rightway's incentives with employers and members rather than with pharmaceutical supply chain players.
What does clinical care navigation include?
Care navigation includes proactive outreach to at-risk members, help understanding and maximizing benefits, billing issue resolution, guidance to high-quality and cost-effective providers and medications, and support through major healthcare decisions — all delivered by dedicated clinical teams.
How much can employers expect to save?
Rightway reports an average of 15% in combined healthcare and pharmacy savings, with specific clients reporting over 13% pharmacy cost reductions. Exact savings depend on the employer's current PBM arrangement, member population, and benefit design.
Is there a mobile app for employees?
Yes. Rightway offers a mobile app available on both iOS (Apple App Store) and Android (Google Play), as well as a web application, giving members easy access to their benefits, clinical support, and medication information.
How does the implementation and transition process work?
Rightway provides 360° transition support with expert-led implementation tailored to each client's unique needs. Their team handles the heavy lifting — including integration with existing TPAs and benefits ecosystems — from day one, with dedicated account support throughout.
