Atlanta, GA – Healthcare Solutions and Broadspire, a Crawford Company, recently announced the development of an integrated pharmacy benefit management (PBM) and preferred provider organization (PPO) program to create a next generation pharmacy management solution.
The integrated program will launch later this year as a pilot in Georgia and Pennsylvania. Under the partnership, Healthcare Solutions’ extensive pharmacy network will join Broadspire’s new BOLD® Rx, which is a composition of the nation’s leading pharmacy benefit managers and stands for Broadspire’s Original Landmark Design.
“Healthcare Solutions is uniquely positioned to integrate our BOLD Rx and BOLD PPO networks to provide a unique provider management program to address both utilization of physician dispensing of prescription drugs,” said Danielle Lisenbey, chief executive officer for Broadspire. “This enhanced PPO and PBM strategy allows Broadspire and Healthcare Solutions to take appropriate actions to influence positive outcomes for claimants and our clients.”
The enhanced medical management program combines Broadspire’s medical expertise with Healthcare Solutions’ technology and strong pharmacy and preferred provider networks to provide a complete integrated care solution.
“Through clinically-based pharmacy and specialty management programs, along with best-in-class PPO network management, Healthcare Solutions will help Broadspire administer cost and utilization management controls that produce maximum program savings, efficient claims handling and optimal clinical outcomes,” said David A. George, chief executive officer of Healthcare Solutions. “Integrated data will afford the network teams the information necessary to execute specific contracting and educational initiatives to support integrated care practices.”
The new partnership to provide comprehensive pharmacy management services builds upon the existing PPO and specialty services partnership already established between the two companies. For the past two years, Healthcare Solutions and Broadspire’s industry-leading durable medical equipment (DME) formulary program has produced savings of 43% or more for Broadspire’s customers. Additionally, the integration of Healthcare Solutions’ PPO network in Broadspire’s BOLD PPO has resulted in greater network penetration rates of 76% and improved outcomes for the company’s customers.
Source: Healthcare Solutions/IMRE