Magellan Rx Management’s MRx Navigate Offers Integrated Care Management, Focused on Customer and Member Healthcare Needs
November 25 2019 - 6:30AM
Business Wire
Magellan Rx Management, the pharmacy benefit management (PBM)
division of Magellan Health, Inc. (NASDAQ: MGLN), has launched MRx
Navigate, a comprehensive care management program that offers
integrated, high-touch and high-tech solutions, focusing on the
patient wellness journey and simplifying the member healthcare
experience. The program incorporates both pharmacy and medical data
to provide a comprehensive and holistic view of the member.
By fully integrating the many touchpoints of a member’s health
and wellness, a team of clinical professionals work closely
together to understand the member’s healthcare needs and assist
them to better manage their condition through education,
empowerment and specialized support.
MRx Navigate consists of four components that can be offered as
a stand-alone product, or part of an integrated solution:
- Navigate Wellness is a program aimed at identifying
opportunities for better care and increasing members’ quality of
life through educational tools and resources.
- Navigate PopHealth is a population health management program
that identifies gaps in care and implements a plan to reduce or
eliminate those gaps.
- Navigate UM is a utilization management program that ensures
appropriate care and reduces cost across medical and behavioral
services, concurrent review of inpatient admission, transition of
care assessment, and appeal management. The program is accredited
by the National Committee for Quality Assurance (NCQA) for
Utilization Management.
- Navigate Change guides members with acute or ongoing complex
conditions and connects members with nurses, behavioral health
professionals, and clinical pharmacists.
Through these four programs, MRx Navigate eliminates gaps in
care and improves adherence through the use of advanced digital
tools, online resources and mobile applications. By leveraging
analytics, members who are at risk for non-adherence and
ineffective medical and pharmacy utilization are identified and
flagged for intervention. Driven by evidence-based algorithms, the
program uses data from multiple sources to identify the members in
need of a care management or disease management outreach and to
determine the intensity of intervention needed.
“As members attempt to access the complex and highly segmented
healthcare system, they are faced with many challenges and often
have difficulty navigating,” said Caroline Carney, MD, MSc, FAPM,
CPHQ, chief medical officer, Magellan Rx Management. “The MRx
Navigate program is a patient-centric model that focuses on making
the wellness journey easy and effective for members. Our team of
experienced pharmacists, nurses, behavioral health professionals
and health coaches work collaboratively to provide seamless
continuity of care and healthcare management, improving quality
health outcomes and delivering value-based savings to the plan
through effective population management.”
MRx Navigate is a flexible and customizable solution available
to health plans, employer groups, government entities, third party
administrators or as a stand-alone for customers who are seeking
data-driven, evidence-based, and personalized interventions to
improve the health of their members and provide better overall
population health management.
About Magellan Rx Management: Magellan Rx Management, a
division of Magellan Health, Inc., is a full-service,
next-generation pharmacy benefit manager (PBM) that helps our
customers and members solve complex pharmacy challenges by
connecting them to the people, technology, and information they
need to make smarter healthcare decisions. As experts in managing
specialty spend both on the prescription and medical benefit, we
are energized by discovering new and better ways to deliver
solutions in today’s complex and rapidly-evolving healthcare
environment, leading people to live healthier, more vibrant
lives.
About Magellan Health: Magellan Health, Inc., a Fortune
500 company, is a leader in managing the fastest growing, most
complex areas of health, including special populations, complete
pharmacy benefits and other specialty areas of healthcare. Magellan
supports innovative ways of accessing better health through
technology, while remaining focused on the critical personal
relationships that are necessary to achieve a healthy, vibrant
life. Magellan's customers include health plans and other managed
care organizations, employers, labor unions, various military and
governmental agencies and third-party administrators. For more
information, visit MagellanHealth.com.
(MGLN-GEN)
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version on businesswire.com: https://www.businesswire.com/news/home/20191125005257/en/
Media: Lilly Ackley, ackleyl@magellanhealth.com, (860)
507-1923 Investor: Joe Bogdan, jbogdan@magellanhealth.com,
(860) 507-1910
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