7/29/2019 UnitedHealth Group to bring all pharmacy benefit
management services in-house in 2013
2/4
How will clients and members beneft rom this change?
We are condent that our broad and diverse assets will deliver
greater value, increased eciencies and lowercosts or those we
serve, creating a unique ofering in the PBM market. Some o the new
benets that clients and
members will enjoy include:
Call center experience:When members call, our representatives
provide one call support or both medical and
pharmacy questions with direct access to pharmacists. Weve added
pharmacy tools and trained our staf,
so our team can provide a better member experience with
end-to-end resolution and the ability to provideproactive
support.
Online and mobile capabilities: Members will experience
simpler
navigation, new eatures and the same url or myuhc.com. New
eatures will include a visual image o all mail service drugs,
targeted
emails through My Message Inbox (including savings
messaging),
and member-specic clinical and program inormation. Te mobile
experience will also improve with the ability to do easy mail
service
rells, see order history, view My Prescription Drug List, nd
a
pharmacy, use medication cost comparisons and set up
prescription
text reminders.
Claims processing: 100% o claims are evaluated by our
proprietaryReal ime Audit program, an important rst line o deense
to
identiy potential cases o prescription raud, waste and
abuse.
Mail service: Members will have access to state-o-the-art
mail
service and award-winning customer service through OptumRx.
Ater members move to OptumRx, they can ll prescriptions
through
website, phone, ax or mail. Tey will also automatically receive
a rell
reminder by email, letter or call when they have utilized 75
percent o
their current prescription and have rells available.
Specialty claims:OptumRx currently provides specialty
pharmacy
services or UnitedHealthcare members. Members who are already
engaged with OptumRx on specialty will
continue to have access to their pharmacist/nurse.
Does OptumRx have the capacity and capabilities to handle this
business?
Absolutely. OptumRx is already one o the countrys largest PBMs
with capabilities equal to any in the industry.
oday, OptumRx manages $22 billion o UnitedHealth Groups
enterprise-wide $32 billion in annual drug spend.
In 2012, OptumRx is investing an additional $115 million to
continue to increase the scale o its platorms,
operations and technology capabilities. And the company
continues to invest in its inrastructure and expand its
capacity, so we are ully prepared to make this transition
successul.
Claims processing:Since being acquired by UnitedHealth Group in
2005, OptumRx has experienced
signicant growth, having processed 370 million adjusted
prescriptions in 2011. Medco currently processes
less than 130 million pharmacy claims or UnitedHealthcare
commercial members. Te additional claims can
be comortably added to the existing OptumRx system. Members and
physicians should also expect a aster
prior authorization process ater the transition to OptumRx,
beneting rom our new online, real-time priorauthorization
system.
Mail service:We have expanded our state-o-the-art mail service
acilities to prepare or the anticipated
volume o mail service prescriptions transitioning rom Medco. Te
new anticipated volume will remain below
OptumRx operating capacity.
Call centers:OptumRx currently operates six call centers stafed
by more than 1,900 customer service
advocates and pharmacists. Customer service is available 24
hours a day, 7 days a week. Quarter ater quarter,
our OptumRx Call Center Net Promoter Score which measures
whether members would recommend us
to riends and amily ranks us with best-in-class companies
nationally. For more inormation on OptumRx,
please visit optumrx.com.
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NIFEDIPINE CAP 10MG
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