Accion Labs | Pharmacy Benefits Management

Our solutions leverage Microsoft Azure to deliver secure, scalable, and AI-driven capabilities for healthcare organizations.

Key Features & Capabilities:

• PBM Technology Modernization: Upgrade adjudication platforms and formulary management systems using Azure App Services and Azure SQL Database for high availability and performance.

• GenAI-Powered PBM Frameworks: Implement AI-driven accelerators like KAPS, BizBrain, and GenAI in a Box on Azure OpenAI Service for intelligent automation, claim surveillance, and predictive analytics.

• Unified Application Experience: Consolidate membership, eligibility, benefits, and claims data into a single interface using Azure API Management and Azure Logic Apps for seamless integration.

• Downstream Automations: Automate post-approval workflows with Azure Functions and Power Automate, reducing manual effort and improving operational efficiency.

• Voice-enabled Agentic AI Support: Enhance customer service with Azure Cognitive Services (Speech & Language) for voice-driven agent assistance and task automation.

• AI-powered Knowledge Assistant: Deploy generative AI chatbots using Azure Bot Service and Azure Cognitive Search for advanced knowledge retrieval and support.

• Enterprise-grade Security: Ensure secure access control through Microsoft Entra ID (Azure AD) and compliance with HIPAA, ISO, and PCI DSS standards.

Benefits:

• Reduce operational costs by up to 50% through automation.
• Accelerate time-to-market with migration accelerators.
• Improve claim accuracy and compliance with AI-driven validation.
• Enhance customer experience with voice and chatbot integrations.

Ideal For: Healthcare payers, PBM organizations, and pharmacy networks seeking cloud-native, AI-driven solutions for claims management, benefit validation, and operational excellence.