Clinical solutions includes our streamlined suite of programs designed to connect with and engage our members in managing their health needs. The focus we place on educating members regarding the proper use, compliance, safety and quality of their medications is designed to help members live healthier every day – and that helps you too.
Because it’s not just about prescriptions. It’s about empowering members to learn and take an active role in their health care. How? We combine our clinical and cost-of-care messages into one communication to reduce member abrasion and make a stronger impact. Members don’t receive multiple letters focused on individual clinical and cost-of-care programs. And, to help ensure coordination of care and compliance, physicians also receive a consolidated communication with similar messages.
These programs help promote medication awareness among members, physicians and pharmacists.
Safety edits help prevent harmful drug interactions, drug duplications or the use of certain drugs by those with specific conditions. These point-of-service edits automatically notify pharmacists when a medication may be unsafe for a member.
We educate members on the importance of sticking to their medication therapy, plus we send physicians messages too. And we’re seeing consistent results – compliance has improved 30%, on average.
We send our members personalized messages tailored to their individual diseases. Monitor for over and under use. And remind physicians of national prescribing guidelines.
Our behavioral health programs help educate members about the importance of taking their medications and following up with their doctor.
For members in our disease management and care management programs, our pharmacists are available to help answer questions and address concerns.