Health technology pioneer DrFirst, the leader in real-time price transparency, has reached a new milestone in helping to reverse this trend. By processing more than 100 million benefit and pricing inquiries within prescribing workflows through its real-time myBenefitCheck tool, DrFirst gives provider organizations and consumers information on alternative medications that may be more affordable during an encounter.
DrFirst has access to drug pricing information for more than 324.5 million individuals, representing 90% of people covered by any health insurance plan, through its broad relationships with pharmacy benefit managers and other organizations. myBenefitCheck provides physicians with consumer-specific, actual costs for prescribed medications as well as therapeutically appropriate alternatives. When prescribers have up-to-the-minute, accurate drug information based on a consumer’s specific insurance benefits, health care professionals and consumers can discuss therapy alternatives and minimize or remove financial obstacles while they are face to face during an office visit or consultation.
Studies have shown that consumers are four times more likely to abandon a prescription that costs $50 versus one that costs $10. With myBenefitCheck, prescribers can check a consumer’s out-of-pocket costs for both covered and non-covered drugs, suggest lower-cost alternatives if needed, and share opportunities for consumer assistance programs that may lower costs even further.
myBenefitCheck also alerts physicians when consumers’ benefit plans require prior authorization for a medication, then suggests alternatives that may not need this approval, which helps reduce consumer and provider frustration and gets consumers on therapies faster.
Pharmacy benefits manager Prime Therapeutics LLC is the most recent organization to collaborate with DrFirst to provide myBenefitCheck functionality within health care provider organizations’ electronic health record (EHR) systems. Prime’s Real Time Benefit Check solution is now live for select Blue Plans, and more integrations are being implemented for other Medicare Part D and commercial clients. Prime serves more than 30 million members and is collectively owned by 19 Blue Cross and Blue Shield Plans, subsidiaries or affiliates of those plans.
Insurers that offer Medicare Part D benefits can use myBenefitCheck to satisfy the Centers for Medicare & Medicaid Services (CMS) rule requiring the use of at least one real-time benefit tool capable of integrating with at least one prescriber’s EHR no later than January 1, 2021.
Since 2000, DrFirst has pioneered health care technology solutions and consulting services that securely connect people at touchpoints of care to improve consumer outcomes. The company’s solutions are focused on care collaboration, medication management, price transparency, and adherence challenges faced in health care. It provides users with real-time access to the information they need, exactly when and how they need it, so consumers get the best care possible. DrFirst solutions are used by nearly 300,000 health care professionals, including more than 100,000 prescribers, nearly half of the EHRs in the U.S., and more than 1,400 hospitals in the U.S. and Canada.
This was reported by DrFirst on January 11, 2021.
Contact information: Sofia Kosmetatos, Amendola Communications for DrFirst, Inc., 9420 Key West Avenue, Suite 101, Rockville, Maryland 20850; 646-431-8423; Email: firstname.lastname@example.org; Website: https://drfirst.com/products/mybenefitcheck/