UPDATE:
You Have Cases
United
HealthCare® Medicare & Retirement
Adherence Conversion Program.
30-90
Conversion with $50 Payment for Positive Outcome
Your store has been identified as receiving cases under the new
UnitedHealthcare M&R program which will launch on or near March 1, 2016. The
goal of the program is to promote patient adherence by making patients aware
that a medication they are currently taking with a 30-day supply is available
to be filled with a 90-day supply. These adherence conversion services are
quick and tend to have high acceptance rates among patients. The patient
interaction is designed to be brief, lasting from 5 to 10 minutes.
The UnitedHealthcare M&R Adherence Conversion Program will
pay $50.00 for the successful conversion of an identified
medication from a 30-day supply to a 90-day supply. This program reflects the
growing trend in healthcare where payment is based on outcome rather than
service. Retail pharmacies are uniquely positioned to make this program a
success. Success may create further opportunities for this program, so be sure
to begin addressing opportunities as soon as they appear in your
MirixaPro queue.
The new prescription for a 90-day supply must be dispensed within
60 days of providing the service to the patient and the payment will occur
after the new 90 day prescription is filled, billed through UnitedHealthcare, and validated through
prescription claims.
The full Program Service Description (PSD) document is available
today on the MirixaPro platform so you can be prepared for the start of the
program. Those who have conducted other 30-90 day conversion programs with
Mirixa have found an extremely high level of patient/physician acceptance and
great potential for positive outcomes.
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Be sure to update your email address in your MirixaPro profile so
that you receive case notifications when cases are assigned to your
pharmacy.
If
you need any help logging onto the MirixaPro platform to access your cases,
contact Mirixa Support toll free at 866-218-6649. Online training is available.