Benefit design and management Our clients have a broad range of benefit design and management needs, but a common goal is offering prescription plans that serve the needs of their beneficiaries, affordably. We offer a wide spectrum of benefit design options for appropriately sharing costs between your plan and enrollees, and providing proper incentives for encouraging preferential use of more cost-effective treatments (e.g. OTC and generics) and pharmacies (e.g. in-network retail, mail order and special care). Medco's benefit modeling and recommendations support your benefit design process, helping you understand how benefit decisions may affect your membership and your finances. Whether you require a special consumer-driven benefit design, or have more traditional needs, we will tailor the solution to your situation. Pharmacy network management Our unique approach to creating and managing integrated pharmacy networks lowers your costs, while delivering quality care and high member satisfaction. Through network options that integrate retail pharmacies, mail order pharmacies for maintenance medications by mail, and specialty pharmacies for biotech injectables, we leverage our buying power to offer you superior cost management and flexibility while providing your members high quality choices to meet their needs. In addition, all our mail order pharmacies exceed Six Sigma levels for accuracy (99.997%). The Medco Pharmacy can help clients improve their plan's clinical effectiveness and deliver a level of patient safety unmatched by any other mail order or retail pharmacy—in addition to helping meet a clients' financial objectives. Learn more > Specialty pharmacy solutions To manage rising costs associated with specialty drug spend without compromising patient care, clients need an integrated, tailored approach to specialty benefit management across both medical and pharmacy benefits. Accredo Health Group, Inc., Medco's specialty pharmacy, helps clients while providing superior clinical care and service to their patients. Learn more > Diabetes management, home healthcare products and Medicare specialists Through our subsidiary Liberty Medical Supply, Inc., Medco provides clients with industry-leading home-delivery services for diabetes testing supplies, prescription medications and other diabetic and nondiabetic medical products. Over the past 19 years, more than a million people have relied on Liberty for its quality products, personalized support and commitment to seniors on Medicare.
In addition to their core diabetes testing supply service, Liberty offers a range of medical products, including:
- Glucose meters and insulin pumps
- Ostomy and incontinence supplies
- CPAP masks and supplies for obstructive sleep apnea
- Personal emergency response systems
If you have a Medicare population that is eligible for coverage of medical supplies and prescription medications under Medicare Part B, Medco's relationship with Liberty enables your members to use their Part B coverage as primary coverage for certain supplies and drugs. This will effectively lower your overall costs and give your members access to Liberty's Medicare specialists, who assist with their claims forms and help them get all the benefits they deserve. For those members also using Medco for non-Part B prescription medications, Liberty's team will help them stay on track with their complete treatment by coordinating the benefits of both plans. Learn more >At Medco, our clients want clinically-based solutions for addressing over use, misuse and under use of prescription drugs, and the consequences of such inappropriate utilization on healthcare costs. No other company does as much to ensure that your members get the right drug, in the right dosage, at the right time while reducing harmful and wasteful use of prescription drugs. Through clinical management, Medco engages members, their physicians and pharmacists, in making better, more cost-effective use of prescription drugs. As a result, your members are safer, and their care more effective and affordable. Precision Health Solutions TMNew genetic tests are coming to market quickly with growth rates ranging from 20 to 25% year-over-year, and the field now extends far beyond the traditional diagnosis of hereditary genetic disorders. As a result, payers face growing utilization of genetic tests and in many cases, limited resources are available to patients and physicians to ensure appropriate testing decisions.
Genetic information does however offer significant opportunities to improve patient care. Through the integration of genetic information into everyday healthcare decision making, payers, patients and their providers can realize the benefits through:
- Savings generated by reducing waste associated with inappropriate genetic tests and ineffective treatments.
- Improved safety and efficacy of care by reducing adverse side effects and the resulting cost of care.
- Offering patients and providers with actionable information to drive more precise healthcare decisions.
Learn more >At Medco, we take a novel approach to client services. We begin with the client. In order to meet the unique needs of our clients, we have created dedicated teams that serve the specific needs of our key client groups. Learn more >Medco has dedicated retiree solutions professionals ready to partner with you to help identify the best prescription benefit solution for your organization and your retirees. We can give you insights into the advantages and considerations of each Medicare Part D option, as well as the CMS regulatory environment and application process. We support millions of seniors with innovative programs and services that only the nation's leading pharmacy benefit manager can provide. Learn more > Medco's most sophisticated health and safety program, focused on reducing drug-therapy-related hospitalizations and other adverse events. By evaluating members' integrated medical, pharmacy, lab and self reported data, RationalMed recognizes and corrects gaps and errors in care that have previously gone undetected with traditional clinical management programs. Subsequent therapy changes result in improved health outcomes and significant reductions in pharmacy and hospital costs. Learn more > Optimal Health is Medco's population-based health management offering, delivered through an alliance with Healthways, the leading provider of health management services. Optimal Health provides greater value than traditional health management programs by identifying and intervening with members faster and more comprehensively by using advanced pharmacy practices and innovative care support services. Optimal Health leverages Medco's real-time access to patient-specific data and our frequent pharmacy touch points with members to engage the entire member population to improve health, enhance satisfaction, and reduce costs. |
