UHC
TIP Challenge, MTM Madness, AMP Bonuses and Warm Leads
March 24, 2017
PROGRAM UPDATES
2017 UnitedHealthcare TIP
Challenge
UnitedHealthcare's
annual TIP Challenge is back for 2017. The challenge will focus on Needs Refill and Needs 90-Day Fill TIPs, with
each organization's performance compared to its peers in three size categories:
- Regional Chain: ≤200 pharmacies
- Medium Chain: 201-899 pharmacies
- Large Chain: ≥900 pharmacies
New
for 2017—there will not be an individual goal for each TIP type. Instead,
organizations will be ranked solely on overall net-effective rate. At year-end,
UHC will make a $15,000 donation to the American Diabetes Association on behalf
of each of the top two organizations in each size category.
GENERAL UPDATES
MTM Madness 2017
This
month, 16 pharmacies faced off in the inaugural MTM Madness competition.
Pharmacies were pitted in head-to-head contests focusing on a different service
type each week. We've seen powerhouse performances and Cinderella upsets
leading into this week's championship round. Safeway Pharmacy 382 and Discount
Drug Mart 38 will round out the competition with a CMR showdown, with the
winning pharmacy announced on March 28, 2017.
Catch
up on the competition by reviewing the current
standings.
Adherence Monitoring
Program Bonuses
Bonus
payments from the 2016 Adherence Monitoring Program will be paid in the April
check. To be eligible for a bonus, pharmacies must have completed the initial
TIP and all subsequent quarterly checkpoints while helping the patient meet or
exceed the target PDC for the year.
2017 CMR Warm Leads
The
CMR Warm Leads initiative is back for 2017. Throughout the year, OutcomesMTM
places IVR calls to select CMR-eligible patients to offer a CMR. When a patient
says yes to the offer, we fax their information to the primary pharmacy. IVR
calls began this month, so remind your pharmacies to look for these faxes,
typically sent on Tuesdays. Ensure they take prompt action on these warm leads,
as patients may be forwarded to another provider after 14 days of inactivity.
Your
network representative can provide a master list of leads sent to your
pharmacies.
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