More than 72.5 million Americans are now enrolled in Medicaid.1 The Affordable Care Act has driven rapid growth, and in 2014, half of U.S. states passed legislation opening the door to more for coverage.
Plan administrators are looking for partners that can help them navigate new requirements while also supporting improved outcomes and controlling costs. To excel, benefit managers must identify innovative ways to introduce tools found in privatization of health plans while maintaining the original intentions and provisions of state and federal mandates applicable to members eligible for such options.
NPS Knows Managed Medicaid
NPS led the way by entering into delegated risk arrangements with managed Medicaid models in early 2001. We are adept in the fast moving Medicaid domain and will work with you to develop a custom pharmacy benefit solution that creates value for you and your members. Our models align to these unique plans by offering flexibility in plan controls with a clear focus on balancing the supply of funding dollars with the demands placed by the members.
NPS strives to meet the challenge of integrating physician network providers and pharmacy network caregivers with plan provisions of step therapy, formulary offerings, disease state management, appropriate discounts, and rebate offers with member needs all at the point-of-sale.