PSAO Network Name
Health Mart Atlas
Number of Pharmacy Members
Are You Wholesaler-neutral?
There is no obligation for an independent pharmacy that purchases from a wholesaler to use the services of a particular PSAO. The PSAO is a separate legal entity. However, PSAO is wholesaler-neutral in certain markets as required by state law.
Are members required to purchase from preferred vendors other than a wholesaler?
Details of Health Mart Atlas Offerings
Usually within 1 business day of receiving funds and data.
Health Mart Atlas...
- Offers robust claims reconciliation to ensure you receive all monies due.
- Provides full visibility on fees, Direct and Indirect Remuneration (DIR) and transaction fees, and dispensing fees.
- Offers central pay and direct deposits for next day reconciliation payments.
Health Mart Atlas provides:
- A results optimization tool for pharmacies to track and to estimate future DIR fees.
- Quarterly remittance statements that outline DIR fees paid.
- Network wide resources to help pharmacies understand DIR fees and opportunities to improve performance and lower DIR liability.
- Dedicated team of Performance Advisors which pharmacies can call or email to get specific performance or DIR questions answered.
The MAC Success Manager (MSM) Program is a Health Mart Atlas solution for appealing eligible multisource brand and generic claims with contracted Pharmacy Benefit Managers.
The Health Mart Atlas MSM program analyzes claims data and average pharmacy acquisition costs to identify and appeal below cost claim examples for drugs that have PBM reimbursements that are out of line with the market. Pharmacies have the ability to also view related reporting and support additional claims via an online portal.
Medication Therapy Management
Health Mart Atlas currently utilizes direct reporting from OutcomesMTM and OptumRx MedMonitor to help prioritize outreach to pharmacies with large volume opportunity. We also display the current OutcomesMTM opportunity in a results optimization tool that our members use.
Health Mart Atlas provides all our members with access to the EQuIPP dashboard to identify adherence opportunities at no additional cost to our members.
Medication Therapy Management
Health Mart Atlas currently contracts with medication therapy management (MTM) vendors for both Comprehensive and Targeted MTM opportunities made available to member pharmacies.
Health Mart Atlas participates in many Vaccine Administration Networks allowing pharmacies to generate additional revenue through billing of vaccines through the pharmacy benefit.
Health Mart Atlas contracts for additional pay for performance opportunities for our participating pharmacies where available.
Health Mart Atlas has dedicated teams to help educate and walk customers through all necessary credentialing and eligibility requirements at enrollment and on an ongoing basis. At enrollment, a dedicated team of Enrollment Concierge spend time one-on-one with each customer explaining PSAO and PBMs' requirements, policies and procedures, and training on compliance management. On an ongoing basis, the team communicates when issues arise along with offering tools to help train the customer and avoid future gaps. Tools include information on the portal, such as a summary of PBMs eligibility and credentialing requirements, podcasts, training materials with step by step instructions/screen shots, and personal support always available with our customer service team.