CT_May_June21_PSAO_Cardinal_Health_LeaderNET_Feature_Image

PSAO Network Name

LeaderNET, Medicine Shoppe, Managed Care Connection

Web Address

www.cardinalhealth.com/en/services/retail-pharmacy/managing-care/psao-services.html

Number of Pharmacy Members

5,600

Are You Wholesaler-neutral?

LeaderNET and Medicine Shoppe require a wholesale agreement. Managed Care Connection is wholesaler-neutral.

Are members required to purchase from preferred vendors other than a wholesaler?

No

Details of LeaderNET, Medicine Shoppe, Managed Care Connection Offerings

How quickly does LeaderNET, Medicine Shoppe, Managed Care Connection pay out the funds from pharmacy benefit managers?

Pharmacy benefit manager funds are paid out on the same day they are received.

Claims reconciliation, fee visibility, and central pay/direct deposit features:

LeaderNET, Medicine Shoppe, Managed Care Connection

  • 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.

How does LeaderNET, Medicine Shoppe, Managed Care Connection help a pharmacy owner plan for and mitigate DIR fees?

Cardinal Health PSAO Services offers several tools to assist in DIR Management, including the EQuIPP™ dashboard and an in-house solution, Reimbursement Consulting Services. Through Reimbursement Consulting Services, members have access to an Action Center that monitors and identifies patients who need assistance with medication adherence. Members also have access to a tool that estimates DIR to be collected based on prescription dispensing.

What tools does LeaderNET, Medicine Shoppe, Managed Care Connection offer to support activities such as MAC appeals, MTM opportunities, adherence opportunities, audit assistance, reporting, and compliance?

Cardinal Health PSAO Services feature value-add solutions including automated MAC appeals, PBM audit assistance and a compliance management program. Cardinal Health PSAO members are contracted with Outcomes with direct access the Medication Therapy Management (MTM) portal that helps ensure patients are on the right medications, using them the right way and achieving desired results. Members enrolled in Reimbursement Consulting Services receive bi-weekly calls from an advisor that reviews MTM, MedSync and adherence opportunities.

What other opportunities does LeaderNET, Medicine Shoppe, Managed Care Connection offer to help increase revenue streams?

Cardinal Health PSAO members have access to a variety of solutions aimed at increasing revenue streams and identifying new revenue streams, including:

  • Point-of-care Testing
  • Medical Benefit Billing
  • Compliance Packaging
  • Immunizations Specialized Care Center
  • Flu Vaccine Program
  • Outcomes

In what ways does LeaderNET, Medicine Shoppe, Managed Care Connection help members to efficiently manage licensure and credentialing information, maintain contract access, and access support for various policies, procedures, and training (such as Fraud Waste and Abuse prevention, HIPAA, OSHA, FWA and PSE)?

Cardinal Health PSAO Services employs an in-house credentialing team that reviews and confirms that all PSAO member licenses are active. The credentialing team also assists with PBM credentialing requests to ensure PSAO members are eligible to service patients through PBM contracts.

All Cardinal Health PSAO members have access to Compliance Management Service that includes FWA and HIPAA training and other CE course offerings at no additional charge. Compliance Management Service also features automated monthly OIG and GSA checks for all pharmacy employees.