Value-based Reimbursements

Community Performance RX MSO

Community PerformanceRx is the first nationally integrated Managed Service Organization (MSO) exclusively for community pharmacies.

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Community Performance RX MSO

CPRx MSO was created to acknowledge the incredible value and willingness of community pharmacists to collaborate with other healthcare providers and improve patient quality of care. The MSO negotiates reimbursements and contracts with health plans, payers, and ACOs on your behalf so you can participate in risk-based, value-based and shared savings contracts. As a member of CPRx MSO you will be able to drive new revenue streams and receive per member per month (PMPM) payments, shared savings, and performance-based reimbursements.

It is crucial to track patient performance with clinical metrics as insurers increasingly tie reimbursement to quality measures and tangible outcomes. CPRx MSO provides you with the common technology platform to track these key measures and to follow standard patient care processes. It also offers information technology and automation tools to support reporting, coding, billing, collections, and other administrative tasks.

The PrescribeWellness Patient Engagement Center provides us with a real-time snapshot of our adherence ratings that we can use to promote our “adherence solutions” to local clinics and payers. It gives us the data we need to back our claims.David Smith, PharmDSalinas, CA

CPRx MSO provides:

  • Collaborative Practice Agreements Contracting
  • Clinical Guidelines Support
  • Standard Process of Care via PrescribeWellness technology platform
  • Pharmacist Clinical Services Billing Support
  • Reporting and Evaluation Support
  • Tools to optimize STARS and HEDIS measures
  • Hospital and office claims data
  • Pharmacy utilization data

Interested in this solution or any other PrescribeWellness service? Get in touch

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