Provider Solutions: Intervention for Managing in a P4P Environment
Medicare Advantage Download PDF
MedVentive's integrated Medicare Advantage solution puts the same cutting edge analytic tools and workflow solutions used by national payers in the hands of your physician network to both understand your utilization and manage performance. Our clients have consistently reported pharmacy inflation rates five percentage points below the average for a given geography through automated pharmacy intervention, including dose optimization, generic substitution and formulary compliance. Formulary compliance rates of 97% have been achieved.
From managing pharmacy costs to delivering accurate, severity-adjusted profile reports directly to your physicians, MedVentive offers a comprehensive and robust set of capabilities that will take your Medicare Advantage performance to the next level.
Key features:
- Import any electronic claims and PBM data sets from any payer
- Generate patient-specific pharmacy intervention recommendations automatically with MedVentive's advanced workflow optimization engine
- Track performance of your network and individual physicians against financial and quality improvement goals
- Model contract options and adjudicate payments at year-end
Take control of your Medicare Advantage program with MedVentive.
