PrescribeWellness has introduced PrescribeCare Management Services Organization (MSO), with enhanced capabilities to provide billing and revenue cycle management. The PrescribeCare MSO negotiates reimbursements and contracts with health plans, payers, and accountable care organizations on behalf of community pharmacies. This allows these pharmacies to participate in risk-based, value-based, and shared-savings contracts.
The new MSO also includes an online platform for pharmacy providers to enroll in state Medicaid medication therapy management (MTM) initiatives. As a result, the MSO is now approved by Michigan’s Medicaid program as a third-party administrator to provide revenue cycle management services to Medicaid-participating pharmacies enrolling in Michigan MTM reimbursement programs.
“The PrescribeCare MSO was created to help community pharmacies go ‘beyond the fill’ by collaborating with other healthcare providers to improve the quality of care for the patients they serve,” says Al Babbington, CEO of PrescribeWellness. Babbington sees this as a vehicle to allow more community pharmacies to participate in MTM initiatives in Michigan and elsewhere.