MORE THAN JUST A FULL-SERVICE PBM.
WE SPECIALIZE IN PACE!
As an NPA member, we are committed to serving PACE programs, both large and small. Managed by a team
offering extensive Part D experience and a partner that processes more than 260 million Part D claims per year, we
are exceptionally well-positioned to service PACE plans.
Our knowledgeable, capable team ensures all your Part D reporting and regulatory requirements are met.
We welcome the support of AscellaHealth, an organization that shares our
commitment to an interdisciplinary approach and the development of effective care plans that enable patients
and their families to access the most optimal care experience based upon their individual needs.
- National PACE Association
PART D CLAIMS PROCESSING
Our real-time claims processing system captures all of your claims, providing detailed data that allows
you to monitor your pharmacy program and support accurate reporting.
- Real-time access to an electronic claims-adjudication system that is
compliant with CMS requirements
- Standard and ad hoc user-reporting capabilities
We offer a broad scope of clinical services that can be tailored to support unique client needs.
- PACE pharmacy and therapeutics committee
- Clinical pharmacist as a member of your account team
MEDICARE PART D REPORTING SUPPORT
We recognize that CMS reporting compliance and accuracy is important to your program. We also understand
that PACE plans require a simple, efficient reporting process. Our systems are designed with this in mind.
- PDE reporting submission and reconciliation
- TrOOP reporting
- DIR reports and annual attestations
- CMS audit and bid support
Our complete pharmacy solution provides you with a seamless process to ensure the right medication is
delivered to the right location at the right time.
- Long-term care pharmacy services
- Retail pharmacy solutions for acute and emergency needs
- Access to specialty pharmacy medications, including limited distribution
We offer superior rebate management services designed to provide increased financial flexibility to our
PACE partners. We understand what it takes to be fiscal stewards.
- Detailed rebate reporting
- Annual DIR reporting
Service excellence is our goal! We partner with our clients to ensure they meet their goals.
- Dedicated client team
- CMS updates and access to our experts
- Part D BID and CMS audit support