Payer Services
The Payer Advantage
OneroRx is the competitive choice for quality transparent benefit management. As we continue to expand and strengthen our payer relationships, we are focused on offering cost-effective solutions that are accessible and convenient.
With a regional footprint of 67 locations in 7 states, OneroRx is positioned to provide the care that your members need, when and where they need it.
A few reasons that payers choose to work with us include:
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Regular evaluation of payer coverage and effective network rates
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Director of Insurance and Contracting interfaces with PSAOs and with payers for direct contracts
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Real time claim status
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Designated roles and processes to expand and strengthen payer coverage relationships
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Payer engagement through Leadernet, Atlas, and a variety of direct contracts.
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ACHC Accreditation at Local Health Pharmacy - Chicago
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Medicaid licensure in Illinois, Indiana, Iowa, Michigan, Missouri, Nebraska, and Wisconsin
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Our Approach
Our network of retail, in-clinic, telepharmacy, long-term care, compounding, and specialty pharmacies allows us to treat the whole person, not just their health conditions. We work closely with everyone involved—patient, provider, and payer—to provide coordinated care. This method allows for more engaged and efficient treatment for chronic diseases, high-risk conditions, and complex concerns alike.
When patients understand their regimen and are adherent to it, studies have found that they experience improved clinical outcomes and reduced mortality associated with chronic conditions.¹ Non-adherence, in contrast, can lead to hospitalization, additional medication costs, and death. About 20 percent of new prescriptions don't get filled, and half of those aren't taken correctly. Direct healthcare costs associated with this add $100–$300 billion annually to the US healthcare system.
When patients pay more, payers' costs increase as well. Our integrated method helps align care management that leads to better patient health and lowered costs for patient and payer alike.
¹ Neiman AB, Ruppar T, Ho M, et al. CDC Grand Rounds: Improving Medication Adherence for Chronic Disease Management — Innovations and Opportunities. MMWR Morb Mortal Wkly Rep 2017;66. DOI: http://dx.doi.org/10.15585/mmwr.mm6645a2
Clinical Services
Our organization can help yours save money by helping patients stay adherent to improve patient outcomes. Some of the services that patients can use include:
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Vaccines
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Medication packaging
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Medication synchronization
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Comprehensive medication reviews
Our ChoiceRx Savings Card can assist patients with their medication costs by providing savings of up to 80% on generic prescriptions.
For those needing specialty medication, our specialty pharmacies in Illinois, Indiana, and Missouri can help patients access the medications they need through coupons, copay cards, and manufacture savings. By establishing and maintaining key payer relationships, we can help everyone get what they need without all the hassle.
About ChoiceRx Solutions
ChoiceRx Solutions is dedicated to restoring affordable pharmacy care to underserved communities—rural and urban alike. Our deep-seated connection with our pharmacists and the communities aids us in putting our values of dignity, integrity, service and compassion into our work.
At ChoiceRx Solutions, we use the expertise of your local pharmacist and information technology to improve the practice of Pharmacy Benefit Management. Using a real-time claims processing system that is flexible and scalable, ChoiceRx Solutions provides 100% transparent customized solutions to payers big and small.
We have a system that works for you and your members. They get the prescription choices they want at a price you need—all with the reliability and accuracy everyone deserves.
It’s that simple.
