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MediCall is very experienced and well
positioned to provide high quality support services to a variety
of pharmacy focused programs for our clients which includes PBM
providers as well as several of the largest health plans, and disease
management companies. Utilizing a combination of our Philippine
certified pharmacists, physicians, and nurses with U.S. based clinical
oversight, MediCall is an innovative solution to extend the reach
and capabilities of our clients own clinical teams. In fact, with
most of our current programs, MediCall clinicians are held to the
same quality and service levels as our clients own teams, yet at
a cost structure that is extremely attractive to providers who are
looking for cost effective pharmacy solutions.
Medicare Part D Services
MediCall has a long and successful history of providing a variety
of clinical services to support a number of programs associated
with Medicare Part D, including:
- Medication Therapy Management (MTM)
support for high quality, cost effective communications directly
with beneficiaries as required by the new Medicare Part D Criteria
for 2010. Due to the fact that Medicare will not be increasing
reimbursement levels to Part D MTM providers, MediCall is an extremely
attractive solution for providing direct opt out and enrollment
support as well as comprehensive medication reviews to beneficiaries
at a cost structure that is roughly 40% less, per engagement,
than U.S. based solutions. Because we are able to work within
our clients own IT systems as secure remote users, the highest
levels of quality monitoring and oversight are inherent in our
model, driving even greater value to our clients and their members
- Inbound Information Line to support
formulary, billing and coverage issues from beneficiaries
- Outbound Patient Discharge calls
to members who have been recently discharged from the hospital
to impact readmission rate
- Outbound Health Risk Assessment
calls to members who may be "at risk" for deteriorating
health issues and who could benefit from more focused case management
services from a U.S. based clinical team
Drug Utilization Reviews
MediCall has a demonstrated track record of developing and implementing
utilization programs for health plans, workers comp providers, and
PBM's to ensure our clients prescription drug benefits are cost
effective and promotes quality of care at a significantly reduced
costs. By utilizing MediCall clinicians to provide DUR services,
our clients are able to measure and monitor our progress through
their own IT systems (since we typically provide the work within
our clients systems). The cost savings potential on this program
is very significant and measurable and enables our clients to lower
their overall administrative cost in order to remain cost competitive
in today's challenging environment.
Patient Persistence Programs
It has been shown that patients/members who receive follow up communications
by a clinician will better adhere to prescribed medication therapies,
MediCall is an ideal solution for clients concerned about compliance
levels in their patient populations. Whether it be after a hospital
stay, to follow up on a lack of visits to a primary care provider,
or to maintain a specific medication therapy, MediCall nurses and
pharmacist can provide a key educational and compliance resource
to our clients at a cost structure that is extremely competitive.
Copyright © 2009 MediCall. All right reserved.
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