Direct Care Access

by Arrive Health  · Based in United States →Clearing the way for better decisions.
Family Medicine Hospital Medicine Internal Medicine

Contact for custom pricing
Regulatory Status Disclosed

Overview

Arrive Health, formerly RxRevu, is a healthcare technology company dedicated to improving care decisions for patients and providers. The platform aims to enhance affordability, access, and outcomes while significantly reducing administrative burden. It addresses the challenge of patients needing to understand true out-of-pocket costs and providers lacking clear, accurate data at the point of care.

Arrive Health’s solution integrates with electronic health records (EHRs) and other clinical workflows to deliver accurate, patient-specific clinical, cost, and coverage data. This empowers providers to make informed decisions, select best-cost medication options, and proactively manage prior authorizations. The company’s offerings include real-time prescription benefit (RTPB) checks, automated electronic prior authorization (ePA), and patient engagement tools, including an AI-powered chatbot for medication adherence and generative AI for PA guidance.

Reviewed by Pouyan Golshani, MD — Interventional Radiologist

Key Features

  • Automatic electronic prior authorization (ePA)
  • Real-time prescription benefit (RTPB) data
  • Real-time medical benefit information
  • EHR integration (Epic, Cerner, athenahealth)
  • Patient-specific cost and coverage data
  • Medication alternative suggestions (lower-cost, non-restricted)
  • Automated patient outreach and adherence reminders
  • AI-powered chatbot for medication adherence
  • Generative AI for prior authorization guidance (arrive ACCELERATE)
  • Reporting and insights on patient savings, adherence, and outcomes

Use Cases

  • Improve medication affordability for patients
  • Streamline prior authorization processes and reduce administrative burden
  • Enhance patient access to medications and care
  • Support clinical decision-making at the point of care
  • Improve medication adherence and patient outcomes
  • Optimize care team workflows and efficiency

What Physicians Need to Know

Evidence Base
Arrive Health's solutions are built on delivering accurate, patient-specific cost and coverage data, and standard of care/best practice medication recommendations for clinical diagnoses. They leverage intelligent automation networks that integrate data from the nation's largest payer/PBM databases to support real-time prescription benefit data. The platform aims to facilitate evidence-based treatment decisions and offers care quality alerts to address gaps-in-care and non-adherence.
Clinical Validation Studies
An analysis of 78 million prescription transactions by Arrive Health revealed that 46.78% of the time, a $0 cost option was available for patients, and in 10.6% of cases, their Real-Time Prescription Benefit (RTPB) solution surfaced a $0 alternative when the original medication had a cost. A pilot program successfully delivered 11,500 coupons, resulting in approximately $170,000 in patient savings. Quality improvements to RTPB results led to significant switch rate increases (100-200%+) at multiple health systems. Additionally, UPMC observed a 200% improvement in refill rates and a 32% reduction in 7-day readmissions using Arrive Health's acquired AI virtual assistant and integrated workflow tools. Providers at UPMC switched drugs in 33% of instances when a covered alternative was suggested by the RTPB tool. One PBM partner avoided 30% of unnecessary prior authorizations.
Alert Fatigue Management
Arrive Health actively manages alert fatigue by employing a dedicated data quality team that eliminated 87% of 'unknown' or confusing pricing results in RTPB, thereby improving provider experience and trust in the tool. The system is designed to reduce provider burden through real-time notifications for prior authorizations and automated initiation of the approval process.
Guideline Update Frequency
The system provides real-time, patient-specific cost and coverage information, implying continuous updates for these critical data points. Arrive Health addresses the challenge of frequent formulary changes by delivering access to a patient's unique prescription coverage details. Their proprietary intelligence layer for prior authorization is continuously expanded and updated.
Clinical Workflow Integration
Arrive Health's solutions are designed for seamless integration with existing Electronic Medical Record (EMR) and Electronic Health Record (EHR) systems, delivering data directly within the clinical workflow. They have successfully deployed RTPB within Epic and Cerner, with an enterprise rollout pending for athenahealth, demonstrating broad compatibility. The platform aims to optimize workflows through automated capabilities.
Decision Audit Trail
While specific details on a dedicated 'Decision Audit Trail' for clinical recommendations within the tool are not explicitly provided, Arrive Health's Code of Conduct and Compliance Manual emphasizes accurate record-keeping and full cooperation with audits and investigations. Given its deep integration with EHRs, interactions with the clinical decision support features would typically be captured within the EHR's comprehensive audit trails, which track data access, entry, correction, and retrieval by individual users.
Physician Tip

Leverage Arrive Health's Real-Time Prescription Benefit (RTPB) and electronic Prior Authorization (ePA) tools directly within your EHR to quickly identify patient-specific medication costs, coverage, and lower-cost alternatives, including those with $0 out-of-pocket. This can significantly reduce administrative burden, avoid unnecessary prior authorizations, and improve patient adherence by enabling informed discussions about affordability at the point of care. Pay attention to the system's alerts for prior authorization requirements, as it can automate the approval process and provide real-time status updates. The tool's ability to normalize and clarify pricing information, even from various PBMs, aims to reduce 'noise' and build trust in the displayed data, making it a reliable resource for prescribing decisions.

Arrive Health solutions are deeply integrated with major Electronic Health Record (EHR) systems, including Epic, Cerner, and an upcoming enterprise rollout for athenahealth. They establish direct connections with Pharmacy Benefit Managers (PBMs) and health plans to deliver real-time, patient-specific cost and coverage data. This robust integration network allows for seamless incorporation into existing clinical workflows, minimizing disruption and maximizing efficiency for providers and care teams.

Details

Category Clinical Decision Support & Reference, Patient Engagement & Education
Pricing Contact for custom pricing Enterprise-level custom pricing; contact sales for a demo.
DeploymentCloud-based, integrated with existing EHR systems.
Compliance
BAA AvailableUnknown AI-estimated
HIPAA CompliantUnknown AI-estimated
FDA Status Not applicable AI-estimated

Arrive Health's software provides decision support and workflow automation and is not classified as a medical device requiring FDA clearance.

Integrations
EHR Not specified
Specialties Family Medicine, Hospital Medicine, Internal Medicine

Ratings & Reviews

No reviews yet. Be the first to review this tool!

Rate Direct Care Access

Clinical Value
Ease of Use
Integration
Support & Docs
Value for Money

Press & Coverage

AVIA Intelligence Platform
Top Digital Prior Authorization Companies u2013 AVIA Intelligence Platform Resources
Arrive Health, formerly RxRevu, offers automatic electronic prior authorization and real-time benefit information through its Direct Care Access solution, which integrates with EHRs to provide accurate pricing and alternative options within ordering workflows.
unknown
Physician AI Tools
Arrive Health - Physician Ai Tools
Arrive Health is a healthcare AI company that offers a product called Direct Care Access, categorized under Clinical Decision Support & Reference.
2026-04
Browne Jacobson LLP
New NHS guidance on unlawfully accessing patient records - Browne Jacobson LLP
New NHS guidance emphasizes that staff with multiple roles should only use direct care access routes for approved direct care activities, not for non-direct care tasks like complaints or HR.
2026-07
NYC.gov
Standing Up for Trans New Yorkers: Mayor Mamdani Launches $15 Million Plan to Expand Access to Gender-Affirming Care - NYC.gov
Mayor Mamdani announced a $15 million plan to expand access to gender-affirming care in New York City, which includes establishing a direct care access fund for providers of youth gender-affirming care.
2026-06
JMIR Formative Research
Identifying High-Priority Ethical Challenges for Precision Emergency Medicine: Nominal Group Study - JMIR Formative Research
A study on ethical challenges in precision emergency medicine raises the question of whether precision research resources could be better spent addressing direct care access.
2025-02
U.S. Medicine
Constant Administrative Changes Have Hampered Efforts to Integrate VA Direct Care, Community Care - U.S. Medicine
A watchdog report found that frequent administrative changes and poor communication have hindered the VA's efforts to integrate its direct care and community care systems, leading to inefficiencies and delays in veteran access to care.
2025-11
MyChesCo
Vitable Health Expands ICHRA Services to Pennsylvania, Texas, and Florida Amid Rising Demand - MyChesCo
Vitable Health is expanding its ICHRA services to Pennsylvania, Texas, and Florida, aiming to provide cost-effective healthcare to small businesses by combining flexible reimbursement with direct care access.
2025-08
Frontiers
An ecological approach to caregiver burnout: interplay of self-stigma, family resilience, and caregiver needs among mothers of children with special needs - Frontiers
This study highlights that addressing caregiver needs, including direct care access, useful information, financial assistance, and social support, is crucial for alleviating stress among mothers of children with special needs.
2025-02

Videos

Product demos, reviews, and walkthroughs for Direct Care Access.

Loading videos...

View all on YouTube

No FAQs available yet for this tool.

Related Tools

OCTA
OCTA
Clinical Decision Support & Reference
OCTA Flow is an AI-powered platform that assists ophthalmologists in analyzing Optical Coherence Tomography Angiography (OCTA) scans to enhance diagnostic accuracy and efficiency.
Elsevier
Elsevier
Clinical Decision Support & Reference
ClinicalKey AI is a clinical decision support tool that uses artificial intelligence to provide physicians with rapid access to evidence-based medical information.
EvidenceMD
EvidenceMD
Clinical Decision Support & Reference
EvidenceMD is an AI-powered clinical decision support platform that provides physicians with rapid access to current and relevant medical evidence for informed decision-making.
FAITH project
AI Agent
Clinical Decision Support & Reference
The FAITH project focuses on Federated Artificial Intelligence for Trusted Healthcare, aiming to develop secure and privacy-preserving AI solutions for healthcare, including potential applications for physician directories.
AI-based support system for skin cancer diagnostics
German Cancer Research Center (DKFZ)
Clinical Decision Support & Reference
Scientists at the German Cancer Research Center have developed an AI-based support system for skin cancer diagnostics that explains its decisions, increasing doctors' confidence in both the AI and their own diagnoses.
Prof. Valmed
Prof. Valmed - validated medical information GmbH
Clinical Decision Support & Reference
Prof. Valmed is Europe's first CE Class IIb certified AI-supported medical co-pilot, providing healthcare professionals with validated, evidence-based medical information through an innovative AI platform.

See all Clinical Decision Support & Reference tools →

Suggest an Edit → | Last Verified: 2026-04-22 | First Added: 2026-04-22

Investors who backed Direct Care Access

Funded through the company that built this tool.

AI Tool Finder
AI-powered search. Results may not be comprehensive.