For many communities, the pharmacy is often the most accessible point of contact for a patient’s everyday health concerns. For many independent pharmacies, the ability to provide focused patient care is what keeps customers coming through the door. With the limited time pharmacies already have to care for patients, maintaining proper compliance and credentialing can […]
Pharmacy First is in need of a talented professional to assist our Managed Care team in maintaining current contracts and reviews any amendment or addendums to contracts to ensure the best interest of our members is maintained. The Contracts Analyst responsibilities include: Assist with managing and developing relationships with third-party payers in order to enter […]
Pharmacy First is looking for a talented professional to assist the Pharmacy Services team by providing effective customer service to clients by using excellent, in-depth knowledge of company programs and contracts as well as resolutions for Maximum Allowable Cost (MAC) issues. The Pharmacy Services Specialist responsibilities include: Accept incoming calls and e-mails from retail […]
A PSAO can provide immense value to a pharmacy needing back-office support. Most pharmacists utilize PSAO services to gain access to a large contract base, handle their contract negotiations, and manage and distribute their receivables. However, as pharmacies continue to be impacted by rising Direct and Indirect Remuneration (DIR) fees, steady changes in audit criteria, […]
Las farmacias independientes juegan un papel vital en el mejoramiento de la salud de sus comunidades locales. Sin embargo, las obligaciones requeridas para mantener una farmacia en funcionamiento incluyen la detección oportuna de los reclamos y la recuperación del dinero adeudado, estos procesos a menudo pueden crear una carga significativa que quita tiempo para brindar […]
Independent pharmacies play a vital role in improving the health of their local communities. However, the obligations required to keep a pharmacy running – including chasing claims and recovering owed money – can often create a significant burden that takes away time from providing actual patient care. With the support of a quality direct reconciliation […]
Keeping up with all the communications and information from multiple payers is daunting. One of the most crucial pieces of information a pharmacy receives from the Pharmacy Benefit Managers (PBM) is the performance reports. Although frequently challenging to find and difficult to interpret, a pharmacy needs to understand gaps in clinical care that may impact […]
Choosing a Pharmacy Service Administration Organization (PSAO) can be a stressful decision for pharmacies uncertain of what to expect. There are many things to consider, but one of the primary concerns most transitioning pharmacies have is what will their contracts look like? Contract assistance is one of the most invaluable services a PSAO can provide, […]
As we continue to navigate the COVID-19 pandemic and work to bolster the number of vaccinated across the US, Pharmacy First continues to see more activity on one of its most valuable services, OutcomesMTM. Pharmacy First continues to search for ways to better serve our pharmacies by working with partners in the industry who can […]
As we enter open enrollment for 2022 Medicare Part D plan selection, it is an excellent opportunity to highlight the impact of clinical performance on overall profitability. A pharmacy’s revenue depends heavily on prescription sales and the profit margins from health plan reimbursements, but unexpected expenses like Direct and Indirect Remuneration (DIR) fees can cut […]
