Transcript File - RepResource Roadmap

Medication Dispensing Program
Your COMPLETE Dispensing Solution
Agenda
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About ASM
ASM program and capabilities
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What is in-office dispensing? How does it work?
Key Benefits
Repackaging components
Dispensing Technology
Additional services available through ASM
Urgent Care
On-Site
Employer
Clinics
Primary Care
Healthcare
Services
Provider ROI
Occupational
Health
ACOs
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Your COMPLETE Dispensing Solution
About ASM
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Nation’s largest supplier of on-site dispensing services.
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Founded in 1988, ASM (AllScripts) was the pioneer in medication dispensing and has 26
years in the industry.
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85,000 sq. ft. automated, FDA/DEA approved, pre-packaging facility and VAWD accredited
wholesaler.
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ASM utilizes an 88 step documented quality control production process to assure full
compliance with all applicable cGMPs on every medication supplied.
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Our affiliation with Sav-Rx, a leading independently owned Prescription Benefit Manager
(PBM) brings you all the capabilities of a full service PBM (mail order, on-site pharmacy and
nationwide pharmacy expertise).
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Specializing in developing custom medication dispensing programs designed to solve your
biggest problems. We handle all types of transactions from third party adjudication and
workers comp to copay coupons, mail order and cash transactions enabling us to offer
complete benefit packages.
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The only complete end to end dispensing solution!
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Your COMPLETE Dispensing Solution
Our Mission
To strengthen caregivers by providing point-of-care treatment solutions that improve
patient health, lower costs and enhance revenue streams.
Accomplishing our mission by:
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Packaging medications in ready-to-use prescription containers.
Offering user-friendly software to ensure compliance and efficiency.
Supporting our clients with the tools and resources they need.
Providing a dedicated account management team.
Supplying the highest quality medications available.
Negotiating the nations’ largest portfolio of insurance contracts for the in office
dispensing marketplace.
Listening and reacting to the needs of our customers, and responding with a sense of
urgency.
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Your COMPLETE Dispensing Solution
Dispensing 101
Your COMPLETE Dispensing Solution
Dispensing 101
• What is Medication Dispensing? 90% of all treatment plans call for the use of
prescription medications; making the prescribing of medications your client’s #1
most outsourced ancillary activity. By insourcing this activity not only do they
maximize revenue streams but they also provide patients with a convenient
alternative to the pharmacy.
• Programs Available: ASM will provides prepackaged medications (relieving the
burden and manual counting or labeling), regulatory consultations (laws in your
state specific to dispensing) and a software platform that allows you to keep
proper records, track inventory and run a series of activity reports. These
standard offerings have advanced on-site dispensing into a very turn-key
operation.
• Goal: My goal today is to create a basic understanding of the value ASM can
bring to you and your clinics and to create a roadmap for interested centers to
implement and manage a world class dispensing program that will create a
market advantage for you in the marketplace
Your COMPLETE Dispensing Solution
In-Office Dispensing Model
• All medications come from our specialty distribution center located in Chicago.
• Medications come prepackaged, safety sealed and labeled specifically for in-office dispensing;
eliminating the need to pour, count, and package each prescription.
• You can carry any medication currently prescribe to carry on-site at the clinic.
• Instead of sending the patient to the pharmacy, the on-site dispensary can provide the
patient with a full prescription at the time of their office visit.
• Clinic uses software to dispense the medication and collect payment or file a claim.
• The dispensing software records the entire transaction and makes all the required
documentation needed to exceed state and federal requirements.
Your COMPLETE Dispensing Solution
Repackaging Components
Our patented in-office medication dispensing program was designed by ASM for today’s
physician’s office. Our program will increase the quality of service at your facility, while
capturing revenue that is currently being referred outside your practice.
Your COMPLETE Dispensing Solution
Dispensing Process- 5 easy steps that take less than 30 seconds
Create Rx Order in EMR & transmit order to Pedigree Rx.
Remove bottle from it’s storage location.
Scan the bar-code on the medication bottle, which is verified
against real-time inventory.
Print medication label and patient education sheet, available in
English or Spanish.
Apply patient-specific label and dispense!
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Your COMPLETE Dispensing Solution
Requirements:
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Valid medical license
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DEA registration (only required if dispensing controlled substances)
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Some states require an additional “dispensing license” usually from the
practitioner’s board or the pharmacy board
Your COMPLETE Dispensing Solution
Provider Revenue Opportunities
Your COMPLETE Dispensing Solution
Prescription Cost Containment
$32 Total
Claim Value
(co pay,
reimbursement,
dispensing fee &
admin fee)
$3
Medication
acquisition
cost from ASM
$29 cost
containment
savings
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ASM’s dispensing program allows caregivers to ability to offer pharmaceutical benefits
directly to the patient where it was not financially or operationally feasible in the past.
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The prepackaged solution decreases overhead, eliminates variable cost and provides
wholesale direct pricing directly to the patient
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Can be applied to any self-insured, employer, institution or health plan capitation that
factors in pharmaceutical treatment of patient.
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Savings for a single provider clinic often exceed over $250k per year!
Your COMPLETE Dispensing Solution
Provider Pay Dispensing
$15 Flat
Fee charged
per
Medication
$3
Medication
acquisition
cost from ASM
By The Numbers
Average Provider scripts per week = 300
Average ASM Dispensing Sales Price = $5.85
U&C Physician Price = $15.00
Average Profit per dispensed Rx = $9.15
Weekly Profit Potential = $2,745
Realistic Profit for provider pay physician (annual) $20k - $30k
$12
Practice
Profit
Your COMPLETE Dispensing Solution
Pharmaceutical Claims Dispensing
$17
Covered
Amount (co
pay & billable
amount)
$3
Medication
acquisition
cost from
ASM
$14
Practice
Profit
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Workers’ Compensation prescriptions typically are co-pay free to the patient and a claim is
submitted directly to the payer via Claim One or the caregiver
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Opportunity exists to contract with commercial payers such as BCBS to electronic submit
prescription claims to through the clearinghouse. (Requires expensive contracting and
training for the client)
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Not all commercial payers currently contract with dispensing physicians (Cigna)
Your COMPLETE Dispensing Solution
Why Dispense with ASM?
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Pricing: ASM is the nations largest dispensing company and offers the industry’s most competitive pricing.
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Strengthen & Innovate: ASM is responsible for supporting the nation’s most successful dispensing programs
and will work with clients to deliver a solution that is simple, efficient, effective, profitable, transparent and
manageable.
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Industry Knowledge: ASM is confident in our ability to add value to your plan. We will provide you with the
tools necessary to put you in charge of your program. All medication pricing, compliance tools, dispensing
reports, invoices, pedigrees, etc… are available in real-time.
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Technology: ASM comes pre-interfaced with many popular EMR’s to optimize clinic workflow! We also offer
inventory management, improved record keeping, real-time reporting and much more.
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Expertise: Our clinical pharmacists, account managers and customer service teams have the industry
knowledge and skills necessary to provide you with all levels of support and program optimization.
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History of Innovation: ASM is the current and future market leader, and has grown by listening to our
customers’ needs and implementing solutions. Clients can feel secure that ASM will rise to any future
challenges, react to your enhancement needs and respond to any new regulations or requirements that are
brought forward.
Your COMPLETE Dispensing Solution
Key Contacts:
• AS Medications
» Sales / Customer Meetings: Brian Czochara,
[email protected], 312-505-1357