The FutureRx® Part D Stars module helps plans identify those members who are not getting their prescribed medications that can negatively impact the member's health and the plans Part D Stars rating. The module integrates smart algorithms developed to look at claims history to prioritize member, prescriber and pharmacy outreach. The use of predictive analytics allows health plans to project their stars ratings and impact of adherence gaps. Users have the ability to rank contract ID, IP and prescriber-level performance. The use of global outreach and auto-generated communications makes member and provider communication efficient.
Track a member's adherence to the CMS Stars Adherence and SUPD measures on a daily basis - from the member's first fill until the end of the measurement year.
Smart algorithms to prioritize member, prescriber, and pharmacy outreaches.
Predictive analytics to project Star score trends and end-of-year rates.
Rank contract ID, IPA, and prescriber-level performance.
FutureRx Appeals and Grievance solution is a pre-configured, automated workflow solution for managin...
Rx Prior Authorizations
FutureRx provides payors a pharmacy utilization management solution pre-configured with streamlined ...
Drug Mangement Program (DMP)
The FutureRx Drug Management Program (DMP) tool was developed to help improve the health and wellness of health plan members. The DMP tool provides an efficient workflow that allows the plan to easil...
The FutureRx Formulary Management module was developed to provide an agile system to appropriately manage innovative formulary and benefit designs. The simplified workflow process easily tracks formul...