Effective and efficient stakeholder engagement for better health outcomes
Physicians, pharmacists, patients, and clinical/pharmacy staff of payers are frustrated accessing too many portals and hard copy reports in order to obtain actionable drug utilization review (DUR) information. Imagine, how easy it will be, if these stakeholders receive real time, comprehensive patient specific (Patient-Rx360°™), and actionable drug utilization review (IntelligentDUR 360°™) pushed directly into their respective workflows: to physicians -EMR/PM/e-Prescription software; to pharmacists –pharmacy claims submission software; to patients –mobile platform; to clinical/pharmacy staff of payers –payer care/case/disease/utilization management workflow. Such revolutionary approach is delivered through Collaborative PBM Cloud™ and its IntelligentDUR 360°Gateway™, which was never done by any other PBM due to antiquated, fragmented, and legacy systems.
IntelligentDUR 360°Gateway™ extracts from multiple components of Collaborative PBM Cloud™, analyzes, packages, and delivers actionable information into the following workflows as a single message in less than two seconds:
- when an eligibility/authorization/formulary check request originates at the point of care
- when pharmacy claim transaction originates at the point of sale
when a member specific quality/cost information is generated in the Collaborative PBM Cloud™
- when clinical/pharmacy staff of a payer need to be involved in a real-time collaborative decision making for better health outcomes