The Upside of Modern Technology vs. Legacy Claims Processing Systems

About Project

We built and launched JUDI®, our cloud-native enterprise health platform, in 2021 because we needed a modern, efficient platform to help our team administer pharmacy benefit programs for our clients in a cost-effective manner. We knew where the pain points were and fixed them, thereby curbing unnecessarily high, rapidly rising pharmacy benefit spend. When JUDI began processing Medicare and Medicaid claims in January 2023, we knew how helpful it could be to health plans trying to control costs for seniors and Medicaid members, respectively. However, feedback received following presentations at multiple conferences revealed that our target audience across the country – health plan decision-makers – truly did not realize that the systems they were using were 20-30+ years old, or that modern technology offered several benefits that they did not believe were possible due to the limitations of the existing enterprise pharmacy platforms.

To address this awareness and knowledge gap, we created an eight-month long campaign to generate wide market awareness of our pharmacy benefit administration (PBA) solution. As a central part of that campaign, we created an eBook -- The Upside of Modern Technology vs. Legacy Claims Processing Systems.

The goal of this eBook was threefold:

1) To educate the target audience about how decades of corporate consolidation – where the three largest legacy PBMs have amassed roughly 80% market share – have led to technological stagnation, specifically with regard to the pharmacy claims platforms that these legacy PBMs use (and the target audience is accustomed to using).

2) To explain how and why JUDI -- with its modern design, expansive scalability, flexibility, and user-friendliness – enhances administrative and operational efficiency, reduces costs for plan sponsors, and simplifies tasks that, in other systems, force users to jump through multiple unintuitive systems or wait countless hours, weeks, or months for seemingly simple tasks, essential configurations to meet government requirements, or customizations to be completed.

3) The PBA market is incredibly specific and limited. Simultaneously, by virtue of how many people health plans serve, even one influenced opportunity can result in hundreds of thousands of lives and millions of dollars' worth of revenue. The eBook was featured in a multi-channel outbound marketing campaign. Several of Capital Rx’s targeted accounts interacted with this piece by virtue of this campaign.

The eBook’s content also fueled a webinar by the same name that explored the subject more deeply and, likewise, attracted high-value prospects. The eBook was made available to our sales team via the Paperflite sales enablement platform, and snippets of content were featured on LinkedIn posts.

The campaign was an incredible success, influencing 15 opportunities valued at tens of millions of dollars, and the eBook was a central touchpoint for many of these influenced opportunities.