Collaboration Between MHA and Express Scripts
Managed Health Care Associates, Inc. (MHA), known for being the nation's leading post-acute group purchasing organization and pharmacy services administrative organization, has reached an exciting agreement with Express Scripts. This partnership aims to expand the reimbursement value for long-term care pharmacies, setting a new standard in the industry.
The agreement builds on an already established three-year contract between MHA and Express Scripts. The collaboration focuses on addressing dispensing fee levels to properly reflect the impacts of Maximum Fair Price (MFP) based reimbursements for medications, which are part of the Inflation Reduction Act's provisions.
New Enhanced Reimbursement Model
This initiative introduces a newly designed reimbursement model, focused on enhancing the value provided to long-term care pharmacies and facilities across the nation. With this model, the goal is to ensure that patients receive the necessary care for managing their complex healthcare needs.
As the healthcare landscape continues to evolve, LTC pharmacies are facing unprecedented challenges. These new enhancements aim to support pharmacies in maintaining high-quality patient care amidst a demanding environment.
Key Benefits for MHA Member LTC Pharmacies
Under this innovative reimbursement framework, MHA members can expect several key benefits:
- Increased predictability and transparency in reimbursement
- Greater stability in business operations
- Consideration of diverse care settings and their unique needs
- Focus on patient health outcomes, financially supported by plan sponsors
- Alignment with the goals set by both CMS and plan sponsors
Strengthening the Relationship with Express Scripts
Russell Procopio, Executive Vice President, and Head of Revenue & Commercial at MHA, expressed the significance of the new agreement, stating, "This enhancement will represent a meaningful step forward for LTC pharmacy reimbursement. The relationship between MHA and Express Scripts has never been stronger, and this commitment ensures that we provide sustained support for our members during critical times. This new model will provide direct benefits to member pharmacies, enhancing their ability to deliver exceptional care to patients right when they need it the most."
About Managed Health Care Associates, Inc.
Managed Health Care Associates, Inc. stands out as a leading healthcare services and software company, dedicated to addressing the unique and complex needs of alternate-site healthcare providers. MHA offers a wide array of services including Group Purchasing, Managed Care, Payor Contracting, and Specialty Pharmacy Solutions, among others. By delivering innovative healthcare services, MHA empowers its members to enhance operational efficiencies and ultimately deliver the best possible care for their patients.
Frequently Asked Questions
What is the main purpose of the MHA and Express Scripts agreement?
The agreement aims to expand the reimbursement value for long-term care pharmacies, ensuring better patient care through an enhanced reimbursement model.
What benefits can MHA member pharmacies expect from the new model?
MHA members can anticipate increased predictability, business stability, and a greater focus on patient health outcomes funded by plan sponsors.
Why is this collaboration important for long-term care pharmacies?
This collaboration addresses the challenges faced by LTC pharmacies, providing them vital support to maintain high-quality patient care.
How does the new model align with CMS and plan sponsors?
The new reimbursement model aligns with the objectives of CMS and plan sponsors, ensuring better outcomes and efficiency in pharmacy operations.
What role does MHA play in the healthcare sector?
MHA plays a significant role in offering healthcare services and solutions that enhance operational efficiency and optimize patient care in various healthcare settings.
