SmartAlts®: Providing Cost-Effective, Clinically Relevant Alternatives through EHRs
Although today’s current electronic prescribing systems have the technology in place to display alternatives to physicians during medication selection as part of their workflow, often only basic data is provided. Without access to information such as copays and clinically equivalent options, physicians don’t have the necessary tools to choose prescriptions that will best meet their patients’ needs.
The True Cost of Limited Access to Actionable Data
Field unnecessary callbacks
Write prescriptions for not covered or too expensive drugs
Waste administrative time fixing avoidable problems
Can’t get needed medications due to coverage or cost issues
Abandon prescription treatments
Experience suboptimal outcomes without necessary medication
Expend resources on unnecessary prescription administration issues
Risk lower Medicare Part D STAR ratings
Respond to frustrated providers and members who need better information
Don’t receive clean scripts from physicians
Must deal with unpleasant patient surprises regarding drug costs
Handle callbacks due to prescription pricing or coverage restrictions
Typical Alternatives Display within Electronic Health Records
Prescription searches within EHRs typically return a bare minimum of information such as formulary status, tier level, and quantity limits. If alternatives information is included, physicians usually can only view the names of drugs within the same therapeutic class and basic benefit information.
Without specific information such as copay and clinical equivalents, physicians are unable to choose the best medication for their patients’ health and fiscal needs. The benefit overview also lacks critical information such as plan limitations, preferred status, and mail order savings, resulting in patient callbacks, missed savings opportunities and frequent prescription rewriting.
BenMedica’s SmartAlts Display
SmartAlts provides clinical relevance and copay information for alternatives, bypassing cumbersome processes for researching alternatives and eliminating the need for callbacks and prescription rewriting. With SmartAlts, physicians can select the most clinically appropriate medications the first time, increasing patient adherence and improving outcomes.
In addition to copay information and clinical equivalence, SmartAlts provides more complete benefit information, enabling prescribers to have a fuller picture of patient benefits and coverage restrictions. When physicians understand and prescribe within plan limitations, payers save money by paying for preferred drugs and avoid the administrative burden of helping doctor’s offices find covered drugs.
Here is how alternatives information appears with BenMedica’s SmartAlts.
BenAlts®: End-User View
BenMedica’s patent-pending drug alternatives processing, BenAlts, allows payers to manage and view the expected drug alternatives to support any use like mobile, call center, e-prescribing, real-time prescription benefit check, and member portals to ensure a consistent message to all stakeholders.
Below is an example of the interface available to payers for customizing alternatives information displayed to physicians.