Community Pharmacies From Coast to Coast Now Depend on PrescribeCare to Shift From Pill-Centric to Patient-Centric Model and Get Paid for Delivering Important Clinical Services
IRVINE, Calif.–April 6– PrescribeWellness, the cloud-based services company that inspires collaboration for better health, today announced that community pharmacies in all 50 states, plus Washington, D.C., and Puerto Rico, have enrolled in PrescribeCare MSO. PrescribeCare MSO is a pharmacy-facing Management Services Organization (MSO) that negotiates contracts with payers—such as health plans, doctors, hospitals and health systems—on behalf of community pharmacies so they can get paid for providing important enhanced and clinical services to their patients in value-based, risk-based and shared-savings contracts.
“The macro conditions surrounding community pharmacies have changed significantly in recent years,” said Al Babbington, CEO of PrescribeWellness. “They are experiencing pricing pressure, increasing DIR fees and narrowing networks. That’s why pharmacies in every state in the U.S. have raised their hands and said they will move from a pill-centric to a patient-centric model, going ‘beyond the fill’ to provide enhanced services that will greatly benefit patients—and their businesses.”
“This is an exciting opportunity for community pharmacies to drive quality outcomes, optimize medication use, and lower healthcare costs,” said Bruce Harris, Pharm.D., Medicare Clinical Pharmacy Manager, Blue Cross and Blue Shield of Alabama. “The future of healthcare is to have community pharmacy be a part of an integrated delivery network, working with payers, physicians and care coordinators to maximize patient care.”
Technology That Connects Community Pharmacies to Payers
The PrescribeCare MSO allows pharmacists to take a more active role on their patients’ healthcare team, driving quality outcomes and, ultimately, lowering healthcare costs. PrescribeCare robustly supports the enhanced services networks forming in many states—such as the Community Pharmacy Enhanced Services Networks (CPESN)—and other multi-payer managed care arrangements. PrescribeCare streamlines documentation and reimbursement for these networks, as well as medication therapy management (MTM), chronic-care management, transitions of care, opioid management, and other clinical services.
Using PrescribeCare, pharmacists can document clinical encounters and submit for reimbursement. The technology leverages an HL7 standardized eCare Plan, providing interoperability with other healthcare providers, such as doctors, hospitals and health plans, and allowing community pharmacies to communicate medication-related care plans to other members of a patient’s healthcare team.
Supporting Practice Transformation
The PrescribeCare MSO supports practice transformation by increasing efficiency and standardizing services so that the pharmacist can focus on providing quality clinical care without the burden of administrative and managerial functions.
The PrescribeCare MSO provides:
- Collaborative Practice Agreements contracting
- Clinical guidelines support
- Daily patient management through eCare Plan documentation
- Medical claims services billing support
- Reporting and evaluation support
- Tools to optimize quality measures, such as STARS, PQA and HEDIS measures
- Tools to optimize patient engagement
“We have the resources and technology to robustly support the administrative needs of community pharmacies so they can focus on providing quality clinical care to patients every day,” said Mindy Smith, BSPharm, RPh and President of PrescribeCare MSO. “From health plan contracting to workflow management and practice transformation, having the ability to position and connect community pharmacies to the healthcare team is essential to driving medication optimization and quality outcomes.”
PrescribeWellness inspires collaboration for better health across America by connecting patients to locally owned community pharmacies. Its proprietary cloud-based platform empowers pharmacists to provide more effective preventive healthcare services, which improve medication adherence, chronic disease management, transitions in care, and population health. With data integration and behavioral science at the foundation, PrescribeWellness software solutions position the pharmacist at the center of community healthcare prevention. Inc. 5000 named PrescribeWellness one of America’s Fastest Growing Privately-Held Companies for the past two years. For more information, please visit www.prescribewellness.com.
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