# HEALTHESYSTEMS

> Specialty pharmacy benefits management and ancillary services for workers' compensation payers

## At a glance

| Field | Value |
| --- | --- |
| Category | Specialty Solutions |
| Type | Solutions Provider |
| Region | NA |
| Headquarters | Tampa, Florida, USA |
| Founded | 2002 |
| Stage | Established |
| Employees | 201-500 |
| Funding | Bootstrapped |

## Overview

Healthesystems (also operating as Healthe) is a specialty pharmacy benefits manager (PBM) and ancillary benefits management (ABM) services provider focused exclusively on workers' compensation. Founded in 2002 and headquartered in Tampa, Florida, the company brings over 23 years of experience helping payers, carriers, and employers manage pharmacy program utilization and costs for injured workers.

The company combines clinical expertise with proprietary technology to connect stakeholders, drive better clinical decisions, streamline processes, and improve outcomes for injured workers. Healthesystems serves workers' compensation payers across the United States, with additional offices in Tempe, Arizona.

As a privately held, bootstrapped company, Healthesystems operates as an independent specialist in the workers' compensation benefits management space, offering pharmacy benefits management alongside ancillary services such as diagnostics, home health, durable medical equipment (DME), and physical therapy coordination.

## Products & services

### Pharmacy Benefits Management \(PBM\)

Specialized PBM services built specifically for workers' compensation claims. The platform manages medication utilization, drug utilization review, and claims technology processing, integrating clinical pharmacist expertise with proprietary technology.

**Key features:**

- Drug utilization review and clinical oversight
- Workers' compensation\-specific formulary management
- Claims technology and processing integration
- URAC\-accredited PBM platform \(accreditation through January 2028\)

*Target users:* Workers' compensation carriers, TPAs, self\-insured employers

### Ancillary Benefits Management \(ABM\)

Management and adjudication of ancillary medical services for injured workers, coordinating a network of vendors and service providers for non-pharmacy medical needs.

**Key features:**

- Vendor coordination and network management
- Diagnostics, home health, DME coordination
- Physical therapy and rehabilitation services management
- Claims adjudication for ancillary services

*Target users:* Workers' compensation payers, managed care organizations

### Clinical Services

Proprietary clinical review services combining technology with clinical pharmacist expertise for managing complex medical cases in workers' compensation claims.

**Key features:**

- Clinical pharmacist oversight and consultation
- Complex case management support
- Drug interaction and contraindication review
- Evidence\-based clinical decision support

*Target users:* Carriers, TPAs, and employers with complex injured worker cases

### Data Analytics and Reporting

Industry insights, data analysis tools, and performance reporting to help clients understand program trends and outcomes.

**Key features:**

- Program performance dashboards
- Industry benchmark data
- Annual Workers' Comp Industry Insights Survey \(8th edition published 2026\)
- RxInformer journal \(twice\-annual clinical education publication\)

*Target users:* Workers' compensation payers seeking program intelligence

### Patient Resources

Tools and resources for injured workers navigating pharmacy and medical benefits.

**Key features:**

- Pharmacy search tools
- Ask\-a\-pharmacist functionality
- Patient resource portal

*Target users:* Injured workers, claims adjusters

## Category & focus

- Subcategories: Workers' Compensation PBM, Ancillary Benefits Management, Clinical Services
- Insurance verticals: Workers Compensation
- Target customers: Carriers, TPAs, Employers

## Notable customers

- Workers' compensation insurance carriers
- Third\-party administrators \(TPAs\)
- Self\-insured employers
- Managed care organizations

## Links

- Website: <https://healthesystems.com>
- Directory profile: <https://insurtechlist.com/companies/healthesystems/>
- About: <https://healthesystems.com/about-us/>
- Careers: <https://healthesystems.com/careers/>
- Contact: <https://healthesystems.com/contact-us/>
- Linkedin: <https://www.linkedin.com/company/healthesystems>

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*Last updated: 2026\-06\-03*