Compmed Advantage - Pharmacy Overview

PHARMACY OVERVIEW

CompMed Advantage is a company with a focused approach to reducing the unit costs of workers compensation Prescription benefits. We are strongly committed to informing and educating our clients while implementing new and better ways to manage pharmacy expense. Therefore the CMA Pharmacy Partnership was built on the premise that significantly reducing the ever-increasing cost of pharmaceuticals requires something beyond the traditional approach. In order to truly realize measured savings, a program must be combined with three additional, critical cost and quality management elements. These elements are:

Utilization
If your injured workers are not participating in your program, then you are spending too much money on your pharmacy benefits. Industry average is 28 – 34 % utilization in a pharmacy program. The CMA Pharmacy Partnership achieves over 80% utilization across our entire customer base. That results in a direct and significant reduction in your Rx expense.

Compliance
means paying only for what is needed to treat the injured employee. What you don’t pay for is as important as what you actually do pay for. Our customers save significant amounts of money by leveraging our powerful and customizable electronic, real-time formulary edits tailored to each clients specific needs.

Productivity
we make it easier for your adjusters and case managers to do their jobs. The CMA Partnership combines “Sequoia” and its professional service staff to get key program utilization and compliance data into the hands of the workers compensation decision makers. Results: Less time on the telephone, more attention to critical claim details, management visibility into problem areas, shorter return-to-work cycles, improved case closure rates and less litigation. All mean lower program management costs.

CCRx
CMA Partners offers a comprehensive suite of pharmacy services through our Rx (CCRx); a program with unprecedented levels of utilization, control and REAL cost savings for our customers. The program consists of 3 primary services designed to facilitate the acquisition of authorized medications for injured workers while also assisting payors by managing prescription costs and enforcing formulary guidelines. The services that comprise the CCRx Pharmacy Program are listed below:

First-Fill Pharmacy Card – We understand the importance of capturing the First prescription on EVERY claim and we have designed some very unique aspects of our program that deal directly with this issue.
Retail Pharmacy Card – our retail program is supported by technology and service that is unprecedented in the Workers Compensation marketplace.
Home Delivery - the unique aspects and level of service of our home delivery program is unmatched.

SEQUOIA
The CMA Pharmacy Partnership has developed SEQUOIA exclusively for our customers and gives every customer personalized access at no cost. This powerful, Internet based claims management system is your 24 hour information center. We want our customers to be informed and have well organized information that is critical to understanding how the pharmacy program is working.
We provide private and secure access to a variety of reports and statistical analysis, including:

In-depth Cost Savings analysis
Stats about your Brand VS Generic spend, Utilization, Top 10 Drugs, Provider info, etc.
Detailed Claim information
Pharmacy and Non-Pharmacy Claim Details
Management Reports including detailed analysis by team or group as well as
individual adjuster – even across Regions or Branch offices.
Adjuster access to their own summary reports & Claim Details
On-Line Invoices
Search and view individual Pharmacy Claim Details including the Provider name, where it was filled and what QTY was filled
On-Line referrals and claim updates in seconds with "Auto Fill"!
Customized access and views for Case Managers, Nurses, Executives, TPA's, etc.
even across multiple employers!

If any of the cost saving approaches or administrative and management tools and information systems discussed above has application to your organization and you want to afford you company the advantages as described please contact us at 1-800-891-1679 and arrange for a complimentary audit that could be the start of significant cost reductions in your workers’ compensation pharmacy benefit.