FOR IMMEDIATE RELEASE:
PharMedQuest Introduces ARC™, Healthcare Industry’s First Fully Integrated End-to-End Management Solution for Medications Provided Under Both the Medical and Pharmacy Benefits
Brea, California – June 4, 2015 – PharMedQuest is proud to introduce ARC™, the healthcare industry’s first innovative integrated solution that addresses the growing trend of high-cost Specialty medications. ARC™ works collaboratively with payers and providers to deliver optimal clinical and financial outcomes by overcoming the limitations of medical and pharmacy benefit coverage designs, site of service, claims submission and remittance, and fragmented care coordination.
High-cost Specialty medications are becoming a recognized challenge for healthcare payers in the US. One of the main challenge is that these medications are often covered by US payers in the medical benefit side of the ledger where managers are not prepared to manage these growing concerns. Further complicating the challenge is big box Specialty pharmacy providers trying to move these drugs’ coverage to the pharmacy side of the ledger so they can take advantage of the growing trend. This leads to a bifurcated drug delivery process that may result in fragmented care coordination, higher care costs, treatment delays, and, ultimately, less than optimal patient care outcomes.
ARC™ was organically developed by medical and pharmacy managers to address these challenges by incorporating years of lessons learned in this space, while remaining agnostic to the conflicting interests of dispensing providers, payers, and manufacturers. As such, ARC™ can objectively manage the entire Specialty drug management continuum to drive optimal efficiencies in work processes, care coordination, claims adjudication, gathering real-time actionable intelligence, and generating savings to payers.
ARC™ has been working for delegated payers and manages over 1 million covered lives in all lines of business including Medicare, Medicaid, and Commercial. The experiences that make up the foundation ARC™ was created on allow it to build innovative measurements to assess clinical care management, bundled services pricing methodologies, concurrent and prospective forecasting, address and contain fraud, waste and abuse (FWA), medical claims IBNR issues, and much more.
PharMedQuest is a national leader in providing proven cost-effective solutions to some of the most challenging issues in healthcare. We are dedicated to providing transparent and innovative drug management solutions that optimize the clinical, operational and financial complexities of medical specialty drug management for cancer and other complex and rare diseases.
With over 20 years of Experience, PharMedQuest delivers Insight and Value to its Clients through its services, which include holistic Medical Benefit drug management, real-time access to integrated drug utilization and financial metrics and intelligence, comprehensive 340B management, and many other integrated Pharmacy and Medical solutions that go beyond traditional PBM, Specialty Pharmacy, or Utilization Management tools. For more information about PharMedQuest services, call (714) 364-4008 or visit www.PharMedQuest.com.