Can we help doctors and members make better decisions at the point of care?

With actual information about costs and coverage, providers can make better prescribing decisions and members will experience fewer surprises at the pharmacy.

HOW WE HELP

THE PROBLEM

When a member arrives at the pharmacy counter and is surprised by the high out-of-pocket cost of a medication, the likelihood that he or she will not have the script filled is high. The likelihood that the member will be frustrated by the experience is even higher.

No surprises

Members can know their prescription drug out-of-pocket cost before leaving the doctor's office
Point of care

At the point of care, providers know whether the medication is covered by the member’s plan and other benefit information

Real Time Benefit Check Solution

MedImpact’s Real Time Benefit Check Solution (RTBC) provides member-specific cost and coverage details at point of care so providers can have informed conversations with members about treatment options and make better prescribing decisions. The result: fewer surprises and abandoned therapies, greater adherence and lower costs for members and payers.

Real Time Benefit Check

With actual information about costs and coverage, providers can make better prescribing decisions and members will experience fewer surprises at the pharmacy.

Analytics.

MedImpact’s Quality Performance Management Program (QPMP) delivers information from the population to the member level about adherence, treatment gaps and safety issues to help improve outcomes, CMS Star Ratings, and drug and medical spend.

Claims processing.

Our proprietary web-based eligibility and claims management system, MedAccess®, sets the standard for processing pharmacy claims with a real-time interactive database.

ON A MISSION

Connected care.

Every year, we invest hundreds of millions of dollars in technology, people, and solutions to make healthcare benefits more connected, personal, and affordable.