Prescription Assistance Programs
Helping patients obtain their medications regularly helps improve medication adherence, chronic disease management, and patient qualify of life. Applying for prescription assistance programs can be complicated and time consuming for patients due to varying qualifications, criteria, and processes with each pharmaceutical company.
CHI Health Partners chapters in Kearney, Omaha, and Grand Island offer a prescription assistance program to help providers and their patients navigate the pharmaceutical company application process for many brand-name medications. These programs are called Medication Access Program (MAP) in Kearney and Prescription Assistance Program (RxAP) in Omaha.
Assistance Services can include:
The programs help fill over 6,000 prescriptions for more than 2,000 patients in a typical year. The annual savings for patients resulting from these applications is approximately $13 million.
CHI Health Partners providers, population health coaches, and clinic/hospital staff can refer patients to these programs.
RxAP will refer to the CHI Health Partners Medication Therapy Management program to review patients’ medications and determine optimal therapeutic outcomes or provide options that may be more affordable long term.
CHI Health Partners Medication Therapy Management (MTM) program helps patients get the best benefits from their medications by actively managing medication therapy and by identifying, preventing, and resolving medication-related problems. The program helps patients understand their medications, and optimize patient adherence to their prescription regimen to help achieve better outcomes.
Patients referred to the MTM program through a UniNet provider, population health coach, clinic/hospital staff can be counseled on:
Insurance research regarding medications is part of the MTM program. MTM staff does not do routine prior authorization verification, but will investigate why a patient needs a prior authorization for a medication or provide other potential medication options.