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Utilization Monitor          
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Utilization Monitor
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PanaceaRx's Utilization Monitor is an advanced patient screening tool that drastically increases safety at the same time it reduces the cost of benefits. It is designed to look at a patient's entire health history and make critical decisions as to whether to intervene with the patient or health care providers.

Specially designed to meet the newly created requirements of Medicare Part D, Utilization Monitor is used by pharmacy benefit managers (PBM), managed care organizations, and other organizations wishing to reduce their costs by carefully monitoring high-risk patients.

 

 

Utilization Monitor integrates closely with pharmacy benefit and managed care systems to provide the necessary data to make clinical support decisions. Key highlights of Utilization Monitor Include:

  • Performs analysis based on prescription history as well as medical history
  • Makes clinical decisions on whether a conflict or safety issue is present based on MediSpan, or by custom rules
  • Targets and flags patients using the most benefits or have the highest safety risk
  • Performs case management and tracks history of interventions with patients and health care providers
  • Facilitates intervention with health care providers by automatically faxing or creating mail merges
  • Performs safety and utilization checking on the major drug utilization and Medication Therapy Management (MTM) areas including; Overutilization, Drug-Drug conflict, Drug-Disease conflicts, Dosage checking, therapeutic substitution checking, and more.

Medicare and new government regulations have guided the future of patient management, and PanaceaRx's Utilization Monitor leads the way. For more information about Utilization Monitor contact us by e-mailing or calling at 1-800-695-6305.