32
Hospital Systems Now Served
$500M+
Savings For Patient Care & Support
$0
Capital Risk For Hospitals
OUR PROCESS
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RETAIL PHARMACY OPERATION
We’ll build an outpatient retail pharmacy on-site. Or take charge of your existing operation. At our expense. Not yours.
INCLUDING
- Hire staff. On our payroll, not yours.
- Install our analytics platform (which tracks all your pharmacy-program data), even if you own the pharmacy.
- Implement discharge program (Meds to Beds).
- Analyze & evaluate your 340B contract pharmacy network, including specialty pharmacy partners.
- Optimize referral patterns.
- Maximize net returns.
- Track every transaction for your audits.
- Triage and obtain prior authorization for covered entities, as well as providers / doctors.
- Charge you absolutely nothing, out of your pocket, for our services. Ever.
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340B OPTIMIZATION
We’ll implement a 340B program with ideal returns and minimal risk.
INCLUDING
- Analyze your clinic volumes and prescription patterns.
- Qualify eligible prescriptions based on your comfort level in pursuing reimbursement — from conservative to aggressive.
- Mine your records for eligible prescriptions: Present and past.
- Identify eligible specialty drugs and obtain preauthorization for your provider.
- Review your 340B contract pharmacy volumes, and implement profit logic, to mamize net returns on your agreements.
- Eliminate under-performing contract pharmacies.
- Maintain comprehensive records on all prescriptions submitted for reimbursement, with complete transparency, and compliance data, at all times.
- Produce on-demand and monthly reporting, demonstrating returns and ongoing program progress.
- Charge you absolutely nothing, out of your pocket, for our services. Ever.
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PBM ALIGNMENT
We’ll align your PBM and your medical plan with the hospital’s needs & objectives.
INCLUDING
- Work with your existing PBM, or recommend better PBM partners.
- Direct employees to your pharmacy.
- Assist in designing benefits and employee incentives (IE: low, or no, co-pays).
- Market your new Win-Win plan to community businesses.
- Charge you absolutely nothing, out of your pocket, for our services. Ever.
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READMISSION REDUCTION
We’ll analyze your Claim and Remit data to identify readmission reduction opportunities.
Then follow-through with an effective Patient Engagement program.
INCLUDING
- Identify high-risk patients for recurring readmission.
- Determine the risk factors based on your data.
- Positively impact your risk-based contracts and CMS penalties.
- Implement patient transition plan.
- Meds To Home.
- Pharmacy As A Solution (PAAS), including ongoing patient contact to ensure prescription compliance.
- Augment your Case Management Efforts
- Review all patient prescriptions for interaction risks.
- Connect patients with doctors or pharmacists, if necessary.
- Place all program reporting data at your fingertips
- Charge you absolutely nothing, out of your pocket, for our services. Ever.
- Identify high-risk patients for recurring readmission.
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PATIENT FINANCIAL ASSISTANCE
We’ll create a white-labeled prescription benefit card.
(Like GoodRx. Only better.)
INCLUDING
- Help you identify patients who need help paying for prescriptions.
- Identify & enroll patients and prescriptions in charity-care programs and processes
- Implement program outreach, increasing awareness among your patients and physicians.
- Conduct all operations under your brand, as your “ambassador.”
- Fill gaps caused by coverage “donut hole.”
- Charge you absolutely nothing, out of your pocket, for our services. Ever.
