
Magellan Health's Pharmacy Benefit Management (PBM) team is revolutionizing the way they report on medication adherence and usage. They've developed advanced reporting tools that provide real-time insights into patient behavior.
These innovative tools enable Magellan Health's PBM to identify trends and patterns that inform more effective care management strategies. This means better outcomes for patients and a more streamlined process for healthcare providers.
One key aspect of their reporting tools is the ability to track medication adherence rates and identify potential issues before they become major problems. This proactive approach helps prevent costly complications and ensures patients receive the care they need.
By leveraging these advanced reporting tools, Magellan Health's PBM is able to make data-driven decisions that drive positive change in the healthcare system.
Unbeatable Advantages
Magellan Rx is an independent prescription benefits manager that makes quality-based decisions easy for self-funded clients, leading to more efficient cost control and improved outcomes.
As a powerful alternative to other PBMs, Magellan Rx brings insight, integrity, and the best information, resources, and services possible.
With Magellan Rx, clients have unlimited flexibility in designing their prescription drug benefits, and the system can accommodate an unlimited number of plan designs and reporting requirements.
This flexibility allows for greater administrative ease, making it easier to update eligibility files and run specific reports.
Magellan Rx also offers online account services that provide direct access to eligibility and claims information, as well as a reporting system.
Partnership and Support
Magellan Rx maintains a high level of personal involvement in overseeing your benefit design, including timely performance reviews and complete analysis support by a team of experienced professionals and clinical experts.
Their consultative partnership approach is designed to help you stay one step ahead of the trends, providing the information you need to make an informed decision and provide a competitive benefits package.
Magellan Rx's team of experienced professionals and clinical experts work closely with you to provide proactive consultation and planning, ensuring your benefits package is tailored to your business needs.
Through their consultative partnership, Magellan Rx helps you identify areas for improvement and develop strategies to address them, ultimately leading to a healthier and more productive workforce.
Will My Medication Be Covered?
Magellan Health's PBM is working closely with Navitus to minimize disruptions to prescription drug coverage. They're ensuring the list of covered drugs, also known as the formulary, remains very similar to what it is today.
A few medications that the plan previously didn't pay for will now be covered with preauthorization.
Safety and Reporting
Magellan Health PBM prioritizes safety and transparency in its operations.
As a pharmacy benefits manager, Magellan Rx plays a crucial role in promoting safe medication use.
Its commitment to healthcare partners is evident in its targeted outreach programs, which educate medical prescribers on patient medication choices and care management.
Magellan Rx recognizes the importance of safe and effective drug therapy.
The company routinely promotes safe and effective drug therapy through its outreach programs.
These programs help prescribers make informed decisions about patient care.
Magellan Rx's safety initiatives demonstrate its dedication to healthcare quality.
By providing education and information to medical prescribers, Magellan Rx helps ensure that patients receive the best possible care.
Drug Safety Initiatives
Magellan Rx plays a vital role in promoting safe and cost-effective medication use through targeted outreaches to medical prescribers.
These outreaches provide education and information to assist with patient medication choices and care management.
The goal of these programs is to help prescribers make informed decisions about medication therapy.
Magellan Rx's commitment to healthcare partners is evident in their routine promotion of safe and effective drug therapy.
By educating prescribers about safe medication choices, Magellan Rx aims to improve patient outcomes.
Innovative Reporting Tools
Innovative Reporting Tools provide clients with fast and easy access to the data and reports needed to effectively monitor and track plan performances.
Magellan Rx's online reporting tool, PRAXIS, is a state-of-the-art platform that includes countless standard and custom report options.
This dynamic interface allows for an in-depth look at a plan, identifying trends at the plan, pharmacy, provider, and member level.
PRAXIS enables clients to track plan performances with ease, giving them a clear understanding of their plan's status.
Learning and Resources
Magellan Rx is committed to providing the best information, resources, and services at the lowest total cost to you, without sacrificing member care.
Their extensive clinical offering is designed to support the lowest total cost approach, while enhancing physician/member relationships and increasing member understanding of their condition(s) and drug choices.
Magellan Rx works with clients to develop customized programs and solutions that fit each unique client’s needs and member population.
Flexible Benefit Design
Flexible benefit design allows for unique prescription drug benefit goals and requirements to be accommodated.
Magellan Rx systems can handle an unlimited number of plan designs, making it possible to tailor benefits to each client's specific needs. This flexibility is especially useful for clients with complex benefit requirements.
Effective Clinical Management
Effective clinical management is crucial for delivering high-quality, affordable care. This begins with the appropriate utilization of drug therapies.
Magellan Rx's extensive clinical offering is designed to support the lowest total cost approach. This approach enhances physician/member relationships and increases member understanding of their condition(s) and drug choices.
Customized programs and solutions are developed by Magellan Rx to fit each unique client's needs and member population. These programs help physicians adhere to the latest protocols.
Learn Rx Today
Magellan Rx is a smart solution for navigating complex healthcare challenges. It's the only one that brings you the best information, resources, programs, and services at the lowest total cost to you.
With Magellan Rx, you get top-notch member care without sacrificing quality. In fact, it's the lowest total cost to you, making it a cost-effective choice.
By choosing Magellan Rx, you're getting the best possible outcome for your healthcare needs. Its insight and integrity ensure that you receive the best information and resources available.
Preauthorization and Navitus
So, you're trying to navigate preauthorization and Navitus. Here's the lowdown: preauthorizations in effect on July 1 will be transferred to Navitus.
If you're taking drugs that transfer to Navitus, you'll need a new preauthorization. This is a straightforward process, but if you have questions, it's always a good idea to call Navitus for clarification.
Just to reiterate, preauthorizations in effect on July 1 will be transferred to Navitus. This means you won't need to start from scratch, but you will need to follow up with Navitus to confirm the transfer.
Frequently Asked Questions
Who bought Magellan PBM?
Prime Therapeutics acquired Magellan PBM in 2022. The acquisition led to Magellan Rx Management being folded into Prime's name.
Does Blue Shield use Magellan Health?
Yes, Blue Shield of California Health Plan of San Mateo Positive Health uses Magellan Health for benefits management. Magellan manages benefits for members of this plan.
Sources
- https://phpcarolinas.com/pharmacy/
- https://alliantplans.com/important-update-magellan-rx-management-rebrands-as-prime-therapeutics-amid-alliants-pbm-transition/
- https://www.forbes.com/sites/brucejapsen/2023/07/05/prime-therapeutics-hires-new-ceo-to-lead-combination-with-magellanrx/
- https://healthservices.byuh.edu/your-pharmacy-benefit-manager-is-changing-july-1
- https://www.techtarget.com/healthcarepayers/news/366604071/Centene-Announces-Sale-of-Pharmacy-Benefit-Manager-Pharmacy
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