Magellan Health and fitness, Inc. now announced that Magellan Rx Management (MRx), the entire-service pharmacy advantage management division of the organization, received a best audit score from the Facilities for Medicare & Medicaid Providers (CMS) for its Granite Alliance Insurance plan Company Employer Group Waiver System (EGWP), a type of Medicare Prescription Drug (Part D) strategy. The plan gives prescription drug rewards for qualified men and women 65 years and older and qualified folks with disabilities.
The application audit was conducted in September 2021 and examined 3 principal locations of the program: Compliance Program Performance (CPE) Formulary and Advantage Administration (FA) Protection and Coverage Determinations, Appeals, and Grievances (CDAG). The outcomes of the audit confirmed zero invalid data submissions, zero conclusions, zero observations, and zero “Corrective Motion Strategies Necessary&CloseCurlyDoubleQuote (Cars and trucks) or “Immediate Corrective Motion Designs Essential&CloseCurlyDoubleQuote (ICARs).
“It is definitely remarkable to see zero circumstances, zero observations, and a glowing assessment from CMS throughout all places that were audited – CDAG, Formulary Administration, and Compliance Application Efficiency,&CloseCurlyDoubleQuote mentioned Mostafa Kamal, chief executive officer at Magellan Rx Management. “I&CloseCurlyQuotem amazingly very pleased of our workforce and their each day commitment to support the Medicare beneficiaries that our customers entrust us with, and this CMS audit final result is more validation of Magellan Rx Administration&CloseCurlyQuotes relentless pursuit of excellence.&CloseCurlyDoubleQuote
About Magellan Rx Management:Magellan Rx Management, a division of Magellan Wellbeing, Inc., is a following-technology pharmacy corporation that is providing meaningful solutions to the men and women we provide. As pioneers in specialty drug administration, marketplace leaders in Medicaid pharmacy courses and disruptors in pharmacy benefit management, we companion with our consumers and users to provide a very best-in-class healthcare practical experience.
About Magellan Health: Magellan Wellness, Inc. a is a chief in taking care of the swiftest expanding, most sophisticated locations of overall health, which include particular populations, entire pharmacy positive aspects and other specialty locations of healthcare. Magellan supports modern means of addressing the full well being requires of associates by way of technologies, while remaining focused on the vital individual associations that are essential to realize a balanced, vibrant everyday living. Magellan’s customers consist of overall health options and other managed treatment corporations, companies, labor unions, different army and governmental businesses and third-bash directors. For additional information and facts, take a look at MagellanHealth.com.
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