Is the Administrative Burden of Rx
Claims Taking Too Much Time?
EHO understands that Hospice plans require a concentrated effort to maintain the bottom line. There is a large volume of prescription claims produced for a smaller population of patients. Focusing on cost savings is key while keeping the patient’s immediate needs in mind. EHO specializes in automated prescription drug benefit solutions for Hospice. During the custom benefit design process, every aspect of your business will be taken into account. Spending limits will be established and additional charge controls will ensure you are not overcharged. EHO strives to reduce your administrative burden, so you can focus on running your facility; therefore, EHO pays the pharmacy directly.
EHO Caters to Hospice Plans
- Patient-specific MARS
- Hospice medication management systems
- COP and Pharmacist reviews
- Conditions of Participation and CMS requirements
- 24/7 live call center
- Diagnosis-specific formularies
- Custom reporting
- Real-time prior authorizations
A Commitment to Clinical Services
EHO effectively manages clinical utilization through a "real-time audit" of high-cost claims. All claims requiring a prior authorization are reviewed by clinical pharmacists with years of experience in the industry. Pharmacists review prescriptions before they are filled utilizing a live connection into the PBM360 claims processing system. The program has reduced clients' annual pharmacy spend by between 15% to 20% through direct cost savings on existing medications and cost avoidance on newly prescribed medications.