Changing how members receive clinical pharmacy services
A conversation with Michelle B. Anderson, PharmD
National Director of Managed Care Pharmacy, Mutual of Omaha
Mutual of Omaha by the numbers
Members qualifying for adherence measures in 2021
Successful member consultations
4.8 out of 5 stars
Aspen RxHealth pharmacist rating
Tell us about some of the challenges that led you to explore Aspen RxHealth.
As a newer Medicare Prescription Drug Plan (PDP), we determined early on that a shift in our focus was needed to place more emphasis on member education. We sought to assist our members in managing their health conditions via medication adherence and medication therapy management (MTM) programs to drive plan performance and boost Star Ratings. Medication adherence was prioritized and went live first in 2021, with the MTM program implemented at the start of the following plan year.
Why Aspen RxHealth?
We didn’t simply need another vendor on board. We sought an ally who could hit the ground running and offer the flexibility a plan such as ours required. After early conversations with the Aspen RxHealth team, we knew their innovative model and domain expertise in delivering comprehensive medication reviews and developing custom medication adherence programs “matched” to our membership population and was a fit. Knowing that our membership may flex from year to year, we appreciated the elasticity provided with Aspen RxHealth’s innovative network. Their collaborative activation process ensured member qualification was efficient and accurate for our Stars-based programs. Prior to activation, the Aspen RxHealth team guided us through outreach strategies to best engage our membership and maximize performance to goal. We also had opportunities to review the scripting of pharmacist consultations and outreach efforts, as well as the performance tracking platform. Their ability to provide our team with an FTP file extract that we could then customize on our end proved extremely helpful.
"Aspen RxHealth has exceeded all expectations in their CMR completion rates, reaching 91% of our CMR completion goal for the entire year in Q1. Their high-quality, personalized member experience and flexible capacity proved they were the right choice for our MTM and medication adherence programs."
We chose Aspen RxHealth based on a few key drivers
What has surprised you about the impact and engagement you've seen with Aspen RxHealth?
What would you tell fellow quality leaders about Aspen RxHealth?
Aspen RxHealth made a very meaningful impact on the clinical pharmacy services we provide to our members. Whether you are a regional or a national health plan, I believe their solutions and consultative approach offer a unique opportunity to vary and customize member outreach strategies based upon the unique needs of your populations. They listened to our goals and objectives and devised a strategy that met our expectations and overall plan performance. Our results without the program likely would have been drastically different and we are very pleased with how the year concluded. What’s also great is that despite being a technology-enabled pharmacy services company, Aspen RxHealth provides the patient-centered care that we expect and that our members deserve. Engaging a company like Aspen RxHealth shows our members that we truly are investing in their health and wellbeing which is so extremely valuable.
Let's do the same for you.
Speak with a solutions expert to learn how Aspen RxHealth can help drive your clinical pharmacy services today!
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