Products / Cost Containment & Care Navigation
Rightway
Public factsCare navigation and transparent PBM
Clinician-led care navigation plus a transparent, 100% pass-through PBM sold to employers as a combined healthcare-benefits partner.
Overview
Rightway Healthcare markets care navigation and pharmacy benefit management together. Navigation copy describes clinicians and dedicated teams who help members understand benefits, handle billing issues, reach at-risk members, find programs in the employer’s care ecosystem, and get to needed care. The PBM is described as a 100% pass-through model with revenue from a single transparent fee rather than traditional rebate-style economics. Public pages cite a member Net Promoter Score of 70 (called 8.5x the industry average), healthcare and pharmacy savings messaging, and average member engagement of 40. Founders named on the about page are Jordan Feldman (CEO) and Dr. Theodore Feldman (CMO).
Why it matters Rightway is one of the few navigation vendors that also publicly sells a pass-through PBM, which changes the RFP from ‘advocacy PEPM’ to a combined medical-and-pharmacy conversation.
- Target buyer
- Self-funded employers that want navigation and/or an alternative PBM with a stated pass-through fee model, including groups already using a TPA or in-house benefits team.
- Pricing model
- PBM: single transparent fee / 100% pass-through (amount not published). Navigation: not published.
- No PEPM, implementation, or fee-schedule numbers appear on rightwayhealthcare.com. A client quote cites 13% savings; homepage savings tiles did not always render a unit (percent vs. other). Confirm current fees with Rightway.
- Availability
- National
- Research
- Last researched 2026-08-23
- Agent-strong category
Key features
- Clinical care navigation by clinicians and dedicated member teams
- Benefits education, billing-issue support, and proactive outreach to at-risk members
- Guidance to programs inside the employer’s existing care ecosystem
- Pharmacy benefit management with a 100% pass-through, single transparent fee (vendor description)
- Pharmacist expertise combined with service and technology (PBM positioning)
- 360° transition support and guaranteed accountability (named homepage pillars; details not expanded on the captured page)
- Intuitive member technology, including medication-savings prompts (example: mail-order transfer)
Integrations
- Employer in-house benefits teams and TPAs (client quote on homepage)
- Employer care-ecosystem / point-solution programs (navigation use case)
- Mail-order pharmacy (example workflow on homepage)
Overview
Rightway’s homepage frames the company as a healthcare benefits partner for both pharmacy benefit management and care navigation. It argues that unlike PBMs that profit from “misaligned partnerships and misleading rebates,” Rightway’s revenue comes from a single transparent fee and a 100% pass-through model.
Navigation is described as helping members understand and maximize benefits, handle billing issues, proactively reach at-risk members, and find relevant programs in the employer’s care ecosystem. Clinicians and dedicated teams support healthcare decisions and get members to needed care.
The about page says Rightway “brings together the power of trusted clinicians and smart technology” and lists Jordan Feldman as Co-Founder and CEO and Dr. Theodore Feldman as Co-Founder and Chief Medical Officer.
Vendor-reported figures on the homepage include a member Net Promoter Score of 70 (described as 8.5x the industry average) and “40” average member engagement (unit not spelled out in the captured text). Savings tiles appeared as “15 Healthcare savings” / “15 Healthcare and pharmacy savings” without a clearly captured percent sign in the fetch. A client quote attributed to Renu Chhabra, Vice President Benefits & Global Total Rewards, says Rightway “saved us 13%.” Another quote from a Chief Rewards Officer at a large health system describes integration with an in-house benefits team and TPA. Margaret Fairbairn, Director of Global Benefits, is quoted on PBM flexibility versus other PBMs.
About-page news items (third-party headlines listed by Rightway) mention clients such as Tyson Foods, TikTok, and Zoom; those stories were not re-verified on the live homepage product copy and are not treated as independently confirmed facts here.
Key Capabilities
- Clinician-led navigation and personalized support to high-quality care and medications at what the vendor calls the best price.
- Benefits maximization, billing-issue handling, and proactive outreach.
- Routing members to programs already in the employer’s ecosystem.
- Transparent PBM: 100% pass-through, single-fee revenue model (vendor).
- Named service pillars: clinically driven service, intuitive technology, 360° transition support, guaranteed accountability (homepage labels; full definitions were not on the captured page).
- Member-facing medication guidance (example shown: transferring albuterol to mail-order).
Integrations & Ecosystem
Public copy emphasizes working with an employer’s TPA and in-house benefits team and with existing care programs. Mail-order pharmacy appears in a member example. A named integration catalog, EDI specs, or carrier list was not published on the pages retrieved. Dedicated /care-navigation and /pharmacy-benefit-management paths returned 404 in this pass.
Pricing
The PBM commercial model is described qualitatively (single transparent fee, 100% pass-through). Dollar PEPM, rebate-credit mechanics, navigation fees, and implementation costs are not published. Client-quoted savings (13%) are anecdotal.
Notes & Limitations
- Several homepage statistics did not include clear units in the fetched text; do not invent a “15%” figure from a tile labeled “15 Healthcare savings.”
- Product-specific URLs used in this research 404’d; depth is limited to homepage and about.
- News headlines on the about page are not a substitute for a current official client list.
- “National” is inferred from U.S. employer PBM/navigation positioning; no state matrix was found.
Sources
Tags: care navigation · PBM · pass-through PBM · pharmacy · member advocacy · self-funded