Comprehensive, Customized, and Care-Driven Pharmacy services that bring new value to your Organization.

Slides:



Advertisements
Similar presentations
Blending Supply-Side Approaches with Consumerism Paul B. Ginsburg, Ph.D. Presentation to Second National Consumer-Driven Healthcare Summit, September 26,
Advertisements

What I need to know about health insurance.. Introduction to Health Insurance Basics Terms Scenario Mandated covered services Plans Identify Explain Pros.
Remote Inventory Management System RIMS Cost Control Solutions, LLC.
Pharmacy Benefit Managers (PBMs)
Choosing Community Health Services
Confidential and Proprietary Information © 2011 Express Scripts, Inc. All Rights Reserved 1 The State of New Mexico Prescription Drug Program 2013.
The RAN ONE Advantage The Challenges of Owning a Business A Partnership to Grow Your Business A RAN ONE Accountant…The Right Choice About the RAN ONE Network.
Tad P. Fisher Executive Vice President Florida Academy of Family Physicians Patient Centered Medical Home A Medicaid Managed Care Alternative.
Patented Process for Beneficially Managing Mental Health (Psychotropic) Drug Usage by Plan Members HR Specialty Products & Services Catalogue Executive.
Call A Doctor Plus The care you need, on your schedule!
Lesson 2 Choosing Community Health Services You need to understand the options in health care services available in your community. Being health-literate.
The Role of Information Technology For A Private Medical Practice Noel Chua Rosalinda Raymundo.
WisconsinRx Prescription Drug Purchasing Cooperative
Fairview Specialty Pharmacy
Centers of Excellence Monterey Bay Public Employees Trust Centers of Excellence 2014 Centers of Excellence are selected after careful review by.
QIO Program Overview December 6, About VHQC Private, non-profit healthcare consulting and quality improvement organization More than 60 experienced.
2012 AASBO Summer Conference Insurance Pools as an Option in the Quest To Purchase Health Insurance Effectively Bill Munch, VSMG Ken Carter,
Part 2  In community-based long-term care, the resident may simply need assistance with taking their medications at the right time or with preparing.
Maybe you’ve heard someone talk about the “new” Group Health
PROPRIETARY AND CONFIDENTIAL Internal Strategic Pharmacy Programs Placemat Background 1  Prescriptions are the most frequently used health care benefit,
Helping People with Chronic Diseases Live Well A presentation to: [NAME] Presented by: [NAME, AFFILIATION] (Date)
Basma Y. Kentab MSc.. 1. Define ambulatory care 2. Describe the value of ambulatory care practices 3. Explore pharmacy services in some ambulatory care.
PHARMACY TECHNOLOGY PHARMACY TECHNOLOGY. Purpose The Pharmacy Technician Program seeks to provide our service area with students that have the technical.
Introducing the Medication Recording System Schedule Ed Castagna Mom & Pop’s Small Business Services.
The Value of Medication Therapy Management Services.
Practice Management: Tips for a Successful GI Practice James J. Weber, MD President & CEO of Texas Digestive Disease Consultants.
State of New Hampshire Pharmacy Benefit Changes Effective November 1, 2011 Presented By: Melisa Briggs.
ADAP Solutions for the future Glen Pietrandoni, R.Ph., AAHIVP, Sr Director, Virology Adam Reno, Sr. Strategic Account Manager, State Governments ©2013.
July 31, 2009Prepared by the Maine Health Information Center Overview of All Payer Claims Data Suanne Singer, Senior Consultant Maine Health Information.
CHD MERIDIAN HEALTHCARE Your Health & Productivity Solution Robert Land Chief Information Officer Robert Land Chief Information Officer.
CVS HEALTH CORPORATION (CVS). CVS Health Corporation together with its subsidiaries, is the largest integrated pharmacy health care provider in the United.
Pharmacy Career Workshop February 12 th, 2008 Pre-pharmacy Informational Learning and Leadership Society.
1 Defined Benefit Limited Medical Plans Limited Medical plans offer employers of all sizes the most cost-effective solutions to meet the healthcare challenges.
Welcome to. Introduction:  Facing an increase in retiring Baby Boomers, CMS is trying to reduce spending on its chronically ill Medicare beneficiaries,
Medication Therapy Management Programs in Community Pharmacy Community Pharmacy October 17, 2006 Kurt A. Proctor, Ph.D., RPh Chief Operating Officer Community.
1  Expert pharmacy benefit management (PBM) consulting team  In-house pharmacists, PBM and Medicare Part D experts  Former C-level PBM executives averaging.
CANCER IN THE WORKPLACE: HOW EMPLOYERS CAN HELP Lynn Zonakis Principal, The Zonakis Group LLC October 23, 2015.
Humana’s Medication Therapy Management Program Robert McMahan, PharmD, MBA Humana Inc. Third National Medicare Conference October 17, 2006.
Aetna Inc. Smarter is Aetna’s retiree solutions. © 2011 Aetna Inc. XX.XX.XXX.X Month XX, 2011 Presenter Name.
Employee Satisfaction Survey Results 2015 v Employee Satisfaction Survey Results 2015 v Work Areas 2015 Response Count 2014 Response Count.
Terry McInnis, MD MPH President- Blue Thorn, Inc - Mobile Co-Chair- Center for.
Pharmacy Benefit Management (PBM) 101
Quality Health Claims Consultants, LLC City of Joliet Dependent Verification Audit Proposal.
Health Insurance Plans Intro to Health Science Unit One Lesson 5 Diversified Health Occupations pages.
PROPRIETARY & CONFIDENTIAL 1 Specialty Pharmacy Trends and AcariaHealth Specialty Pharmacy Solution AcariaHealth Presentation April 6, 2015.
PREVENTION PLUS Brought to you by:. As of January 1, 2015, CMS has started paying MONTHLY reimbursement for care coordination services to eligible Medicare.
MTM USER GROUP BEST PRACTICES AND OTHER STUFF THAT WORKS.
 In Ned law are a company that provides strategic consulting and management, composed of a team of high academic and social esteem, focused on optimization,
Kings Specialty Pharmacy Services in Brooklyn
Medication therapy management
Wireless Access SSID: cwag2017
Fostering Workforce Partnerships
MAIL ORDER PHARMACY 1.
Health Advocate Overview
CONTROLLING THE COSTS OF HEMOPHILIA
Medication Dispensing Program
Telepsychiatry: Cost Effective Solution to Integrated Care
Common Insurance Challenges & Access Strategies for people with CF
About the Client Challenges
Medication Therapy management
Bending the Cost Curve A Case for Integration.
Multiple touch points to drive maximum engagement Direct mail and s to close gaps in care One phone number to reach all benefits Member engagement.
How data analytics can drive greater results
  Cost Management Service for RX Benefit Plans Driven by Evidence-Based Therapeutic Alternative Identification and Substitution so as to Affect an Average.
2019 Model of Care Training University of Maryland Medical Systems Health Plans, Inc. Proprietary and Confidential.
Ametros Overview.
Pharmacy practice and the healthcare system Ola Ali Nassr
Community Action National Network National 340B Commission Testimony of Sue Veer MBA President and CEO for Carolina Health Centers, Inc. Tuesday, July.
Pharmacy – Fully Insured versus Self Funding
ON TRACK KEEPING YOUR BUDGETS
Presentation transcript:

Comprehensive, Customized, and Care-Driven Pharmacy services that bring new value to your Organization

Help your Organziation control costs and increase satisfaction with the innovative ConciergeRx family of plans. ConciergeRx is an all-inclusive pharmacy services provider and third party administrator with a philosophy that attracts organizations looking for value, savings and transparency that other PBM’s can not offer. Our assortment of products, plans, and services offer customizable programs that will optimize your organizations financial performance and invoke extraordinary health results. Our relationships in the health care industry allow us superior clinical experience and access to innovations in drug therapy management. Help your Organziation control costs and increase satisfaction with the innovative ConciergeRx family of plans. ConciergeRx is an all-inclusive pharmacy services provider and third party administrator with a philosophy that attracts organizations looking for value, savings and transparency that other PBM’s can not offer. Our assortment of products, plans, and services offer customizable programs that will optimize your organizations financial performance and invoke extraordinary health results. Our relationships in the health care industry allow us superior clinical experience and access to innovations in drug therapy management. Complete Pharmacy Care A plan that makes sense for your organization. The programs ConciergeRx uses have been designed to improve health outcomes and minimize spending on prescription medications. ConciergeRx provides the transparent, customer friendly pharmacy benefit management and mail order services your organization would expect from a PBM. Complete Pharmacy Care A plan that makes sense for your organization. The programs ConciergeRx uses have been designed to improve health outcomes and minimize spending on prescription medications. ConciergeRx provides the transparent, customer friendly pharmacy benefit management and mail order services your organization would expect from a PBM. The name ConciergeRx is defined as exceeding expectations in specialty pharmacy services and medication therapy management programs that have been created to improve the health of members who account for an excessively high share of your organizations medical and pharmacy expenses. We will collaborate with you to offer programs created to provide exceptional benefits to your members, whether they need just one service or a custom solution blending many different services.

ConciergeRx surpasses all other PBM services by implementing programs that minimize costs and improve the health of members with difficult, multifaceted conditions. ConciergeRx Pharmacy Benefit Solutions ConciergeRx Pharmacy Benefit Solutions Pharmacy Benefit Services Many people see PBM’s as a necessary evil, but ConciergeRx’s transparent and customer satisfaction driven business philosophy is guaranteed to change their opinion. ConciergeRx was created by health insurance agents looking for a solution to their members growing healthcare costs. These agents could see the outrageous mark-ups PBM’s were charging for drugs and decided to solve the problem. They did this by creating their own PBM and offering stand alone prescription benefits. The creation of ConciergeRx has saved our members an astronomical amount of money. But more importantly it has enabled them to continue offering healthcare benefits even with the rising costs. ConciergeRx saw such amazing results and knew others would benefit from the lowest cost business model and commitment to member services. ConciergeRx’s services include a nationwide pharmacy network, state- of-the-art claims processing, and the ability to create and apply a wide range of other pharmacy programs to provide hands-on, care based optimization unmatched by any other PBM. On top of the clinical expertise we are able to offer, we also provide a 24/7 helpline and a personal group representative so you speak with the same person every time. Now that’s concierge service!

ConciergeRx is Transparent and always Accountable Our revenue always comes from a flat fee. Either a per member per month fee or a per claim fee. We never charge a plan more for a prescription than we pay a pharmacy to fill it. We do not profit from increased drug utilization. The total drug benefit cost is lower as a result. We will win your trust and maintain it year after year with our unique, measurable optimization process, the ConciergeRx Assessment Program, and our top of the line customer service. ConciergeRx Assessment Program ConciergeRx has a unique method of engaging you and uncovering your unmet needs. The ConciergeRx Assessment Program analyzes an organizations existing program and pinpoints the savings opportunities. By applying a proven methodology to the last 90 days of actual prescription claims data, we will show your organization very specifically what ConciergeRx can do for it. We will identify any gaps in the current pharmacy benefit program and systematically apply our drug utilization and therapy management programs to reduce costs and improve the health of members, which saves the organization even more. This analysis is free of charge. And the results will most certainly surprise you and your co-workers. Mail Service Pharmacy ConciergeRx’s mail service offers a convenient way for plan members to receive their maintenance medications on a regular basis. Our state-of-the-art mail service facility will ship up to 90-day quantities to a member’s home or any other location they would like, within two to four days in most states. Orders are shipped at no extra charge and arrive in unmarked, tamper-resistant packaging. Our pharmacists work closely with the patient’s care providers, screening prescriptions for possible allergies, interactions or other potential problems. Your members will have quick access to our service representatives as well as pharmacists for medication counseling.

Specialty Pharmacy Services ConciergeRx’s Specialty Pharmacy Services, powered through our partner, helps control the cost of the most expensive category of prescription drugs. Our partner provides service nationally, across all medical specialties, with particular expertise in complex diseases. Our partner maintains strong ties to the University of Minnesota Medical Center- one of the country’s preeminent clinical and medical research organizations- enabling our program to keep up to date with emerging treatments. We are able to offer extensive clinical management programs for more than a dozen of the most difficult-to-manage conditions, with documented savings and measurable clinical outcomes for each. These conditions include HIV/AIDS, transplant, cystic fibrosis, hemophilia and metabolic disorders requiring enzyme replacement. More information about these programs- including a set of remarkable case studies- is available upon request. What’s different about ConciergeRx’s Specialty Pharmacy Programs? Medical center affiliation Clinically based therapy management programs Prospective, disease-state-specific approach Customer- centric service Reporting capabilities Pricing Product availability Customer service and satisfaction Medication Therapy Management ConciergeRx’s Medication Therapy Management (MTM) programs help members with chronic conditions get the best results from their medications, bringing down overall health care costs by guaranteeing the appropriate use of a member’s medications and reducing the need for physician visits, emergency room visits, and hospitalization. Our MTM services are accessible throughout the whole United States using a virtual or in-person model for pharmacist- member consultations. A specially trained pharmacist becomes a critical part of each member’s clinical care team. The pharmacist, physician and member work together to help the member understand his or her drug therapy, identify drug-related problems, remove barriers to compliance, prevent interactions and optimize treatment. Your facility can expect concrete, ongoing results. Patient centered pharmaceutical care services can provide a 3-to-1 or better return on investment. The graph “Before and After MTM” on the following page illustrates the cost- effectiveness of this approach. Our experience with MTM services show dramatic improvement in the number of members reaching health goals by participation. Which in turn saves your facilities even more! ConciergeRx Care Solutions

Improving patient health by using MTM consultation programs creates savings by resulting in a decline in the number of physician visits, emergency room visits, and inpatient hospital stays. This equals savings for your organization! ConciergeRx: True Value, Working Solutions, and The Best Service. ConciergeRx is a true customer service based, best value PBM looking to create savings and better health outcomes for your organization. We strive to provide the best services in the United States and always put our members first. We work with you to bring solutions and cost savings enabling you to continue providing the benefits needed for your members. Our employees are well trained and the best in the industry. They understand that member satisfaction and appreciation is our top priority and make sure to give you 100% every time.

We look forward to analyzing your current drug spend and working with you to create significant cost savings and improved health outcomes. ConciergeRx is here to help improve the overall health of your members while implementing new cost reducing innovations to your organization. Connect with ConciergeRx. And help your organization come out ahead. To learn more about ConciergeRx, call , or

ConciergeRx Corrections 2869 Jolly Rd Okemos, MI ConciergeRx powered by ClearScript, a service mark of Fairview Pharmacy Services LLC