Official Corporate Blog
Welcome to the official corporate blog of Rx Review, LLC. Check here for the lastest news, insights, and comments from our company and our staff.
You may recognize the title taken from the Grimm fairy tale about a brave and clever little tailor who manages to kill seven flies with one blow and eventually parlays that into becoming king of the land. If you are so inclined, you can read the full version here. The title lends itself also to how a relatively simple to engage and risk free process can actually help hospitals compete in seven new categories of healthcare provider performance measures.
Healthcare Payment Reform plans are pointing at cutting costs by increasing efficiency and improving quality outcomes. A National Quality Forum sponsored RAND study of proposed payment initiatives analyzed over 90 different payment schemes and boiled them down to eleven classifications. There were seven organizational development commonalities that cut across all eleven criteria and which healthcare organizations will have to come to grip with over the next few years in order to achieve maximum benefit.
- outcome measures that focus on patient results—from avoidable harms to improved health;
- care coordination measures that capture appropriate patient follow-up care needed to keep patients on track to improved health;
- patient engagement measures to assess whether care empowers patients and their caregivers to improve health;
- organizational capability measures that assess whether new systems (accountable care organizations and medical homes) are sufficient to deliver high-quality care;
- composite measures that combine the results of individual measures into an overall indicator of quality, allowing for a more comprehensive assessment of the care delivered to patients;
- efficiency measures that combine quality and resource use measures; and
- disparity measures that ensure efforts to cut costs don’t lead to favoring certain types of patients.
There are some initiatives that can help organizations in more than one of these areas. Optimal recovery of unreimbursed drug expenses through manufacturer-sponsored patient assistance programs (PAPs) may not be the first thing that jumps to mind, but its true!. Besides saving a pile of money, here's how Rx Review's systems can help you improve against these criteria...
1. Patient assistance programs can assist uninsured and underinsured patients acquire the medicine they need even after they leave the hospital environment. This allows more patients to stay on their meds and should help reduce return visits.
2. This certainly fits into the care coordination activities and follow up reorders of medicines could potentially be tracked.
3. Providing patients with the capability to use patient assistance programs meets engagement, empowerment, and health improvement criteria.
4/5. Patient assistance programs help manage the cost and can assist with improving the quality of care provided a segment of the population that often receives less attention and is more difficult to administer.
6. Easy to use SAAS systems that can be operated by less experienced staff, are a snap to initiate, and allow efficient management control through real time oversight mechanisms. You can check on progress, whether at 2 PM or 2 AM and see up to the minute results.
7. Since we are serving a large portion of the population this criteria is meant to protect, patient assistance program utilization can have a decided impact when expanded to acquisition of post hospital medicine needs.
Rx Review's programs can be initiated on a pay-as-you-go basis where our reward is based upon our how successful we are for the client. We tailor each engagement to the needs and desires of the client, everything from fully staffed solutions to annual audit/performance studies. Our intuitive workflow management software is dead simple for onsite staff to work with...just collect the identified data and scan it in. We do the rest right through to the product arriving at your doorstep.
