Value-based Reimbursements

PrescribeCare 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 PrescribeCare 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. PrescribeCare 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.

PrescribeCare 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