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Business Press - Kelly Schick honored!
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Articles on Pharmacy Benefit Management
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From Cost Center to Business Partner
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February 7, 2006: Working RX Claims Dimissed
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In an expected and sweeping victory for carriers, employers and pharmacy benefit managers, Working Rx's claims against ScripNet were dismissed by a Federal District Court on Monday, February 6.
ScripNet's Call Ahead Program saves time for injured workers and pharmacies
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Health & Medicine
Press release from: ScripNet
PR Agency: Stanton & Associates
LAS VEGAS, NV February 12, 2008 ScripNet, a nationwide pharmacy benefits manager (PBM) who contracts with workers? compensation insurance carriers and pharmacies to ease the availability of prescription medications to injured workers, is saving time and money with an innovative Call Ahead Program. The program is designed to let injured workers know the closest locations to get their medications, pre-approve the correct prescriptions, and pre-register with pharmacies to reduce delays at in-network pharmacies.
ScripNet announces support for Texas Department of Insurance Workers' Compensation eBilling mandate.
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ScripNet?s pharmacy benefit management services will enable Workers' Compensation Insurance Carriers in Texas to accept eBilling from health care providers, with California & other state mandates to follow.
| ScripNet Ranked Third largest Pharmacy Benefits Manager for Workers' Compensation
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PR Agent: ProAmericas Marketing & Pubic Relations
(openPR) - ScripNet establishes industry position with growth, infrastructure, tools, and a call for efficiency, effectiveness and transparency
LAS VEGAS, NV April 15, 2008 ScripNet, a nationwide pharmacy benefit manager (PBM) who contracts with workers? compensation insurance carriers and pharmacies to ease the availability of prescription medications to injured workers, has been ranked by Business Insurance Magazine as the third largest provider of Pharmacy Benefit Management services in Workers Compensation, based on the number of lives enrolled.
The ranking was based on a Business Insurance Survey and was published in the March 10, 2008 edition of Business Insurance Magazine. It was reported that ScripNet had 210,000 lives enrolled and sixty-one active clients.
It is great to be recognized in our industry as a key player, said Dennis Sponer, president and CEO of ScripNet. We achieved significant growth between our founding in 1997 and 2002 when we hit the Inc 500 List as the 34th fastest growing private company in America. Since then we have focused on building our infrastructure and providing quality service to our customers and partners.
We are large enough to have achieved economies of scale and cost benefits from the investments that we made in building our own network of pharmacies, in creating an information infrastructure that supports online access and real-time communications with providers and adjusters, in creating customized formularies and a Drug Utilization Review program that deters abuse and fraud and reduces administrative expenses. Yet we are small enough to provide personalized service and support to our customers and pharmacy partners.
We are also large enough to be outspoken about key issues that affect our industry, fostering increased awareness, communication and transparency. We were one of the earliest vendors to provide support for and compliance with the Texas Department of Insurance mandate that workers? compensation carriers accept eBilling from health care providers, which we expect to spread to other states.
Also acknowledged by consultant - Maddy Bowling in a November 2007 Business Insurance Magazine Article ?ScripNet has taken the most aggressive stance against the third-party billers, arguing that since ScripNet has direct contracts with their pharmacies (unlike many other PBMs which merely lease access to pharmacy networks), even if a participating pharmacy sells a covered prescription to a third-party biller, the payer is only obligated to reimburse that biller for the lower contracted amount originally agreed to by the pharmacy.
?ScripNet has joined PBM Industry consortium CompPharma, speaking out for improved efficiency and effectiveness across carrier, pharmacy and PBM industry participants through automation, communication and transparency,? said Sponer.
ScripNet Media Contact:
Mark Rieger
ProAmericas Marketing & Public Relations for ScripNet
markr@proamericas.com
303-520-4524
ScripNet is one of the fastest growing pharmacy benefit management (PBM) companies in North America, providing PBM services to over 2,000,000 employees through pharmacies in all 50 states. ScripNet electronically processes prescription drug claims for workers' compensation, which allows insurance carriers, large self-insured companies, municipalities, managed-care organizations, and third-party administrators to participate in better cost control and increased efficiency for pharmacists, and offers more convenience for injured workers. ScripNet offers a drug utilization review program that improves patient care, reduces fraud and abuse, and cuts administrative expense. ScripNet is a three time winner of Inc. Magazine?s annual listing of the 500 fastest growing privately held companies in the nation.
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| Call Ahead Program Reaps ROI
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LAS VEGAS ScripNet's Call Ahead Program, which pre-approves correct prescriptions, pre-registers with pharmacies and directs injured workers to the closest pharmacies to get their medications, has delivered ROI for payers, pharmacies and patients.
ScripNet has documented an increase in generic drug use, electronic adjudication and average percentage of savings from the year-long program, according to Dennis Sponer, president and CEO of ScripNet, a pharmacy benefits manager that works with workers' compensation insurance carriers and pharmacies to streamline the prescription medication process for injured workers.
An average of 76.4 percent of participants in the Call Ahead Program were prescribed generic drugs, as opposed to 70.4 percent of those not in the program. An average of 94.8 percent of claims was electronically adjudicated compared with 89.2 percent of claims for the non-participants.
As a result, the Call Ahead Program produced an average of 21.2 percent savings over the average of 17 percent savings for non-participants, said Sponer.
The Call Ahead Program sends an automated phone call to injured workers after they receive their workers? compensation card, on behalf of their employer and health plan, to make sure they are aware of the medication process services. The goal is to keep injured workers from going out of network for their medications, Sponer said. The calls also allow injured workers to access a live person for questions.
ScripNet?s interface with carriers for pre-authorization eliminates the paper process at the point of sale. Pharmacists access ScripNet?s database to determine in real-time such things as drug incompatibility, too-soon refills, drug utilization review, and other safety and cost information.
John Aforismo, chairman and CEO of RJ Health Systems International and pharmacist consultant for ScripNet, said the ScripNet card ensures the pharmacist will be compensated by the health insurer and eliminates the need to file a claim. It makes pharmacy transactions efficient and in real-time.
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Savings
"We have enjoyed good savings since we started our ScripNet program in 2001. The program has been very well accepted by our members and the injured workers."
Larry W. Cowles, AIC
Claims Manager
Texas Association of Counties
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