Medicare Advantage Plans

Value-Based Care Providers

Your Patients

Can Get More from Medicines

WE'RE IMPROVING COST, QUALITY, AND MEMBER EXPERIENCE

Read case studies of the industry's first truly value-based pharmacy service, Mosaic, and learn how we are taking on risk and achieving meaningful improvements for our health plan and provider clients.

THE RxEFFECT® ADHERENCE WORKFLOW SOLUTION

Improve member targeting, monitoring, and outreach. Contact us for a demo today.

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health plan lives managed by RxAnte

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Quality
Cost

Proven gains in pharmacy quality measures and total cost of care

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Net Promoter Score of RxAnte's value-based pharmacy service

For Health Plans

Solutions for improving quality scores, lowering total cost of care, and enhancing your plan members' experience.

For Value-Based Providers

Solutions for medication management to reduce medical and prescription drug costs under risk arrangements.

How it Works

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Program Design & Simulation

We want to hear your performance goals, current strategies, and budget constraints. Then we’ll use your plan’s data to simulate multiple scenarios to help you design your program with confidence.

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Program Activation, Driven by Patented Analytics

RxAnte configures our patented analytics and software to your unique population, then selects the intervention most likely to benefit each at-risk individual.

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Tech-Enabled Interventions

Engage at-risk members with your existing care managers, activate your provider network, or use our curated network of patient engagement vendors. For your most complex and vulnerable members, we recommend our value-based pharmacy service, Mosaic.

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Performance Measurement & Continuous Improvement

Ongoing performance measurement, available in your RxAnte portal and discussed in regular business reviews, is how we engineer success.

Interested in learning more?

Contact us today to schedule a demonstration.

Get Started

Resources

How Mosaic’s Comprehensive Pharmacy Support Enables Better Care at Home

As the Director of Clinical Services at Mosaic Pharmacy Service, Patricia Powers, Pharm.D. is responsible for overseeing the development and delivery of clinical services for all Mosaic members, RxAnte’s high-touch pharmacy service. This month we asked Dr. Powers to share her insights around at-home care coordination benefiting both the patient and the health system and how Mosaic’s comprehensive pharmacy support can help enable better care at home.

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CMS Announcement for Medicare Advantage Part C and D plans

In early April, the Center for Medicaid and Medicare Services shared its Announcement for Medicare Advantage Part C and D plans, incorporating feedback solicited after an Advance Notice was issued in February 2022. Overall, not much has changed since the Advance Notice, however CMS addressed the comments issued by Medicare Advantage stakeholders like MA organizations and prescription drug plan sponsors.

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The need for value-based pharmacy services

There is a strong push among physicians to transition to care models that incentivize fewer, more effective treatments. This same perspective should also be held in pharmacy. As we look to a post-pandemic healthcare system, improvements need to be made to remedy these concerns with focuses on barriers to optimal quality and cost--particularly for the medically complex and socially vulnerable.

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