Workers' Compensation Pharmacy Benefit Program
Progressive Medical is committed to the development of programs that lead to an improvement in injured worker outcomes with the least disruption to their care while providing medical cost management services.
Progressive Medical can intervene in an injured worker's recovery before the carrier or payor is notified of the injury through the end of the claim.
Increase penetration by utilizing a full range of proven solutions that capture fulfillment of first prescriptions through home delivery of medications for long-term care to assure a client that medication utilization occurrs at the point-of-sale and retrospectively.
An exclusive program offered by Progressive Medical to control costs when an injured worker goes out of network to fill their prescriptions is NetworkAssistTM. NetworkAssist provides clients with an improved way to control costs of out-of-network pharmacy invoices. Benefits of using Network Assist are:
- Network enforcement at point-of-sale
- Reduced administrative burden
- Reporting on total pharmacy bills
- A first fill solution
Once an out-of-network invoice is initially captured and processed through Progressive Medical's NetworkAssist program, Progressive Medical begins the conversion process so that future invoices for the same injured worker are converted to in-network rates. This conversion process is a vehicle to improve program penetration and reduce costs. By only paying for authorized medications, clients have experienced as much as a 78% reduction in the number of out-of-network bills. Our on-staff clinicians are available to answer medical questions of claims professionals to assist them in making qualitative and quantitative care decisions.
Contact us to learn more about Pharmacy Programs or call 800.777.3574.