For Health Plans
Pharmacy quality measures. Total cost of care. Member experience.
Our tech-enabled and value-based pharmacy services will help you reach your goals.
IMPROVE QUALITY OF CARE
RxAnte powers programs that improve prescribing and adherence for some of the highest-performing health plans in the country. Our expert team will help you build a program that achieves your goals for Medicare Star Ratings, HEDIS® measures, or custom quality measures.
Predict. Decide. Learn.TM
A patented solution.
RxAnte analytics proactively identify the members who need additional support, then drive targeted outreach to improve your plan’s performance on CMS Star Ratings medication adherence measures, HEDIS® measures*, and Medicare CAHPS survey measures.
*HEDIS® is a registered trademark of the National Committee for Quality Assurance (NCQA).
A leading adherence workflow platform.
The RxEffect® adherence workflow platform is used by over 4,000 health plan and provider end-users each day. The platform helps quality program managers and staff to manage at-risk members in a prioritized workflow that is updated daily.
REDUCE TOTAL COST OF CARE
Improving prescription drug use is a $528 billion per year cost savings opportunity. For plans ready to drive quality AND cost savings, RxAnte is ready. Our patented Value of Future Adherence (VFA) Score™ enables plans to engineer the ROI of their pharmacy care management program by targeting members with the greatest cost savings potential.
RxAnte is pleased to offer the industry’s first truly value-based pharmacy service, which uses the VFA Score and patent-pending Therapeutic Decision Support™ to provide comprehensive, long-term pharmacy services for medically complex and vulnerable seniors. Download the case studies below to discover how the Mosaic model is improving outcomes including cost of care for high risk plan member populations.
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WE OFFER THE INDUSTRY’S FIRST TRULY VALUE-BASED PHARMACY SERVICE, MOSAIC.
Designed specifically for medically complex and vulnerable seniors, the Mosaic program improves pharmacy quality scores, reduces total cost of care, and delights members. Guaranteed.
ENHANCE MEMBER EXPERIENCE
Health care is a human-centered endeavor. RxAnte understands the increasing importance of member experience to health plans. We believe that quality improvement and cost containment objectives can be achieved together with a delightful member experience. From our tech-enabled quality improvement programs to our value-based pharmacy service, RxAnte engages members who need additional support with compassion and respect.
Nowhere is this more evident than in our value-based pharmacy care management program, Mosaic. Purpose-built to improve medication outcomes among medically complex and vulnerable members, Mosaic delivers quality improvement, cost savings—and a world-class net promoter score of 84.
How RxAnte's Value-Based Pharmacy Works
Targeted Member Selection
- RxAnte’s Value of Future Adherence Score identifies members in need of long-term, comprehensive pharmacy support
Education & Enrollment
- A Mosaic team member conducts a virtual visit with the eligible member and offers enrollment
- A Mosaic pharmacist conducts a review of all medications using Therapeutic Decision Support™ to help optimize the medication regimen
Dispensing & Delivering
- Medication is organized in adherence packaging and delivered to the member’s home in a Mosaic medication box
- The Mosaic team follows-up with members monthly to conduct a medication review and manage changes to the regimen in collaboration with prescribers and caregivers
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