Providing doctors with education on how to use and interpret the formulary and benefit data provided in Electronic Health Records (EHRs) is an “untapped opportunity to help improve patient care and lower healthcare costs.” Benmedica understands how confusing formulary information can be in EHR systems…
Last call for comments on CMS’ ePA proposed rule
The Centers for Medicare and Medicaid (CMS) recently proposed a rule to adopt a transaction standard that would require Medicare Part D payers and prescribers to use electronic prior authorization (ePA) capabilities within their electronic health records (EHRs).
How Health Benefit Consultants Can Save Employers $88 Per Member Per Year on Prescription Costs
Health benefit consultants can help their clients save up to $88 per member per year on prescription spending by sending actionable drug data to doctors within their existing workflows. Too often, provider communication is non-existent, inaccurate, limited, or cumbersome which prevents full savings potential.
Achieving Pharmacy Benefit Savings Today Before Real-Time Tools Arrive
Employers and health plans are missing significant prescription savings opportunities available today through improved formulary and benefit (F&B) data. Enhancing patient benefit data leads to better information at the point of prescribing and creates savings now for both payers and patients.
Generating Savings for Patients and Payers through Improved Generic Prescribing
Providing actionable information on generics options to physicians using Formulary and Benefit (F&B) data creates significant savings for payers, employers, and consumers. Physicians have been conditioned to prescribe generics as part of first-line therapies to save patients money and eliminate callbacks…
Prescribing cost-effective specialty medications including those covered under a medical benefit requires physicians to have access to drug-specific information on plan coverage and restrictions. Currently, many physicians can only see that a medical benefit drug is not covered as part of the pharmacy…
3 Actions Health Plans Can Take Now to Improve Physician Prescribing and Lower Drug Costs
Health plans who do not provide optimal Formulary and Benefit (F&B) information to prescribers through Electronic Health Records (EHRs) are missing a significant opportunity to lower medication costs and increase patient adherence to treatment.
Benmedica’s Response to CMS’ Proposal to Lower Drug Prices and Reduce Out-of-Pocket Expenses
The CMS’ proposed rule requires Part D sponsors to integrate a real-time benefit tool (RTBT) within an electronic medical record (EMRs). This proposed rule overlooks the option of offering enhanced Formulary and Benefit (F&B) as a solution for prescriber access to more complete drug benefit information.