The Medicare Prescription Payment Plan – M3P – applies to all plan sponsors and fundamentally alters the workflows for pharmacies, pharmacy benefits managers (PBMs), and health plans

医疗保险处方付款计划（M3P）适用于所有计划赞助商，并从根本上改变了药房、药房福利管理人员（PBM）和健康计划的工作流程

NEW YORK, March 27, 2024 /PRNewswire/ -- Capital Rx, the full-service pharmacy benefit manager (PBM) and pharmacy benefit administrator (PBA) advancing our nation's healthcare infrastructure to improve drug price visibility and patient outcomes, is bringing a standalone, turnkey, end-to-end Medicare Prescription Payment Plan (M3P) solution to the market for Health Plans, Payers, and PBMs offering Medicare Part D.

纽约，2024年3月27日/PRNewswire/--Capital Rx，全方位服务的药房福利管理人（PBM）和药房福利管理人（PBA）正在推进我们国家的医疗保健基础设施，以提高药品价格的可见度和患者的预后，正在为医疗保险D部分的健康计划，付款人和PBM市场带来一个独立的，交钥匙的，端到端的医疗保险处方支付计划（M3P）解决方案。

This new solution will facilitate supporting plan members' ability to pay for their medications as required by the CENTERS for MEDICARE & MEDICAID SERVICES (CMS) guidance..

这一新的解决方案将有助于支持计划成员按照医疗保险和医疗补助服务中心（CMS）指南的要求支付药物费用的能力。。

Continue Reading

继续阅读

Capital Rx's M3P solution within JUDI®, the next-generation enterprise health platform, delivers a suite of capabilities covering billing and reporting, claims adjudication, cost sharing and tracking, program calculations, payment options, and the new pharmacy notifications necessary to meet CMS requirements for M3P, all in a single system.

Capital Rx在下一代企业健康平台JUDI®中的M3P解决方案提供了一套功能，包括计费和报告、索赔裁决、成本分摊和跟踪、计划计算、支付选项以及满足CMS对M3P要求所需的新药房通知，所有这些都在一个系统中。

This effectively addresses several challenges Part D sponsors face, including the need to staff up in the call center, billing and enrollment, accounting, pharmacy operations, and other areas of the organization impacted by the new requirements..

这有效地解决了D部分赞助商面临的几个挑战，包括需要在呼叫中心、计费和登记、会计、药房运营以及受新要求影响的组织其他领域配备工作人员。。

M3P is the biggest change to Medicare Part D in years. It's a great program for members but disruptive for health plans.

M3P是医疗保险D部分多年来最大的变化。这对会员来说是一个很棒的计划，但对健康计划来说却是一个破坏。

Post this

发布此

Further, Capital Rx's M3P solution builds on top of modern Medicare reporting to deliver the necessary data for prescription drug events (PDEs) and explanations of benefits (EOBs) to ensure program compliance and in support of CMS data submission requirements.

此外，Capital Rx的M3P解决方案建立在现代医疗保险报告的基础上，为处方药事件（PDE）和利益解释（EOB）提供必要的数据，以确保计划合规性并支持CMS数据提交要求。

Modern Healthcare Technology Helps Address Prescription Drug Affordability in the U.S.It's no secret that CMS is taking steps to help Americans enrolled in government programs afford the health care they need. Unfortunately, a significant portion of seniors in the U.S. - upward of 25% - find it at least 'somewhat difficult' to afford their prescription drugs The situation is even worse for Black and Hispanic Americans and households with lower income levels.

现代医疗保健技术有助于解决美国处方药的负担能力。CMS正在采取措施帮助参加政府项目的美国人负担他们所需的医疗保健，这已不是秘密。不幸的是，美国有相当一部分老年人（超过25%）发现至少“有点难”买得起处方药。对于黑人和西班牙裔美国人以及收入水平较低的家庭来说，情况更糟。

To address this, in addition to capping seniors' out-of-pocket drug costs, health plan members enrolled in Part D programs will be able to pay for their prescription drugs throughout the plan year, alleviating the burden of potentially high upfront payments at the pharmacy counter, starting on January 1, 2025, thanks to the M3P.'With JUDI, our clients can confidently meet all M3P with relative ease,' said AJ Loiacono, Co-Founder and CEO of Capital Rx.

为了解决这个问题，除了限制老年人的自付药品费用外，参加D部分计划的健康计划成员将能够在整个计划年内支付处方药，从而减轻药房柜台潜在的高额预付款负担，从2025年1月1日开始，多亏了M3P。”Capital Rx联合创始人兼首席执行官AJ Loiacono说，有了JUDI，我们的客户可以相对轻松地满足所有M3P的需求。

'This is the kind of new program that JUDI is tailor-made to meet the requirements of. Our modern technology's unparalleled flexibility, efficiency, transparency, and accuracy shine in these situations, and we're looking forward to helping health plans smoothly implement this program so that seniors can afford the medication they need on more flexible payment terms.''When new programs are announced, our goal is to move quickly to establish the most efficient workflows and processes to meet regulatory requirements.

“这是朱迪为满足要求而量身定制的一种新计划。我们的现代技术无与伦比的灵活性、效率、透明度和准确性在这些情况下大放异彩，我们期待着帮助健康计划顺利实施这一计划，以便老年人能够以更灵活的付款条件支付所需的药物。”当宣布新计划时，我们的目标是迅速建立最有效的工作流程和流程，以满足法规要求。

JUDI allows us to do just that for our clients,' said Jason Barretto, Vice President of Government Program Operations at Capital Rx. 'I've yet to see a new program announcement or requirement at the state or national level that we, with JUDI, can't handle.'Please visit our website for more details about Capital Rx's M3P solution and answers to frequently aske.

Capital Rx负责政府项目运营的副总裁贾森·巴雷托（JasonBarretto）说，朱迪（JUDI）允许我们为客户这样做我还没有看到州或国家层面的新项目公告或要求，我们与朱迪一起无法处理。”有关Capital Rx的M3P解决方案的更多详细信息以及常见问题的答案，请访问我们的网站。