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Frequently Asked Questions
Managing
your plan members’ medication can be complicated, challenging and stressful. We
understand that, and try to answer all of your questions and concerns. Our team
of clinical specialists is available around-the-clock for emergency services to
help you manage all aspects of your plan members‘ specialty medication therapy.
The following are some of the more common questions plan mangers may ask.
Q: What strategies are used by Ascend SpecialtyRx to manage specialty therapy?
Q:
Why should I select Ascend SpecialtyRx as our specialty medication therapy
manager?
Q:
How does Ascend SpecialtyRx make a difference in patient care?
Q:
Will Ascend SpecialtyRx design programs specific
to the needs of our clients and their members?
Q:
What if a member wants to speak with a pharmacist or nurse?
Q:
What utilization data and reporting can be provided?
Q:
What are the administrative and programmatic costs?
Q:
How do I obtain more information about Ascend SpecialtyRx?
Q:
What strategies are used by Ascend SpecialtyRx to manage specialty therapy?
| A: | Successful
management strategies include:
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move specialty drug payment and management from the
medical administrator to the specialty therapy manager
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contract with a single specialty therapy manager with
a retail lock out
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use patient-centric, evidence-based clinical guidelines
to improve the quality of care
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use effective therapy management tools and reports
to ensure optimal drug use
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communicate, communicate and communicate between patient,
provider, payer and therapy manager
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Q: Why should I select
Ascend SpecialtyRx as our specialty medication therapy
manager?
| A: | When selecting Ascend SpecialtyRx as your Specialty Medication Therapy Manager you will receive the following
benefits:
-
experienced clinical
staff that is extremely knowledgeable in specialty
therapy management and
the related diseases
- patient-centric, guideline-supported,
therapy-specific patient education and medication administration training
- in-depth insurance verification,
reimbursement support and coordination of benefits
- eligibility determination
and prior authorization support and coordination
- convenient and discreet
medication delivery to a patient’s home, physician’s office or alternate site of
choice
- member therapy adherence
and intervention reporting
-
direct communication with doctors and health plans
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Q:
How does Ascend SpecialtyRx make a difference in patient care?
| A: | “We
know the status of every patient every month.”
This proactive approached has yield an overall 97.8% patient compliance rate
and 94% of the Hepatitis-C patients would recommend our services. |
Q:
Will Ascend SpecialtyRx design programs specific
to the needs of our clients and their members?
| A: | Yes,
Ascend SpecialtyRx can design programs to meet
your specific needs. For more information
contact
Bob Davis
@ bdavis@nmhc.com. |
Q:
What if a member wants to speak with a pharmacist or nurse?
| A: | A clinician is available 24 hours a day for emergencies
and can respond to your call any time of the day or night.
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Q:
What utilization data and reporting can be provided?
| A: | Both standard and client-specific customized reports
are available. Standard reports include
comprehensive claim detail, financial and clinical intervention reports and compliance
tracking.
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Q:
What are the administrative and programmatic costs?
| A: | There
are no administrative or programmatic fees for managing the therapy or your patients. Specialty medications can be obtained
at deep discounts and cover all costs of the program. |
Q:
How do I obtain more information about Ascend SpecialtyRx?
| A: | For
more information contact
Bob Davis
, Vice President, Specialty Business Development, at 516-605-6650 or by e-mail at
bdavis@nmhc.com. |
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