High Risk Claims (2)

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Specialty Pharmacy AultCare uniquely integrates local, expert pharmacy management with the external national strength of OptumRx Pharmacy Benefits Manager and two exclusive specialty pharmacies: OptumRx Specialty Pharmacy and Gentry Specialty Pharmacy. This integrated approach helps ensure members receive high-quality and optimal care while controlling costs when utilizing high-cost specialty drugs. Identification  Prior Authorizations identify potential high-risk claimants, promotes high-quality, appropriate treatments, and supports cost control.  Data mining from claims data.  Referrals throughout AultCare’s Care Coordination team.  Collaboration with specialty pharmacies.

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High Risk Claims (2) by AultCare - Issuu