Outcome Resources Inc.

1-866-877-2053

Pharmacy Benefits Management

The Outcome Resources Difference:
A Pharmacy Benefits Manager (PBM) Focused on Helping Hospices Succeed

Partner with Outcome Resources for Pharmacy Benefits Management

  • Reduced Drug Costs -- Realize substantial cost savings for the medicines you use. Average per patient, per day cost of $6.29.

Hospice Patient Per Day Savings

  • Choice of Pharmacies -- Patients can continue to use local pharmacies to purchase hospice and non-hospice medicines. Mail-order and closed-door also available.
  • Flexible Plans -- Customized for your needs including formularies, protocols and system controls. Use your current formulary or we can help build one.
  • Streamlined Administration -- Patients admitted quickly, often before the nurse leaves the home.
  • One Invoice -- Complete with NDC codes -- regardless of the number or types of pharmacies used. Consolidated by patient.
  • Detailed Reports -- Customized with key drug-usage information, like claim costs and drug totals.
  • Stay Compliant -- Get a complete medication review to help you comply with Medicare’s Conditions of Participation (CoP).
  • Clinical Services Support -- No call centers. A pharmacist and account manager are available 24/7 for individual consulting and expert palliative care support.
  • Educational Resources -- Education resources and support, including accredited courses.
  • Skilled Nursing Facilities -- Contracts with institutional pharmacies provide lower cost structure.
  • Owned and Operated by Pharmacists -- Decades of hospice and palliative care experience at your service.
  • Support Local Economy -- Using local pharmacies supports the community that supports your facility.
  • The Clinician-- Quarterly clinical newsletter.
  • No Surprises -- No startup costs, hidden charges or unexpected fees.

 

 

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QuoteImplementing the Outcome Resources system was very simple and we realized significant savings from day one.”

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Helping Hospices SucceedReduce Hospice Costs, Alleviate Administrative Burdens and Increase Patient Care

For over a decade, Outcome Resources has partnered exclusively with hospices as their pharmacy benefits manager, helping them to navigate one of the most intricate and regulated fields in the medical industry. As a nationwide PBM leader, we help our hospice partners reduce drug costs, streamline admissions and billing processes, and stay compliant with current regulations. We provide 24/7 access to clinical support -- including a pharmacist -- customized plans and a variety of educational programs.

Reduce Drug Costs with Your Choice of Pharmacies

Save a significant amount on the medications you use through our network of over 60,000 pharmacies nationwide, including local, mail order and closed-door pharmacies used by skilled nursing facilities. Many of the pharmacies you use are already in our network, allowing you to maintain vital relationships in your community. Learn more our the pharmacies in our network.>>

Customized Hospice Formulary PlansCustomized Plans for Easy and Flexible Administration

We offer flexible plans that can be personalized for each hospice’s unique needs, allowing you to admit patients quickly. Choose from a variety of customized plans with prior authorization requirements and special formulary lists so the administration of pharmaceutical care flows exactly the way you need. You can even use your own formulary, or we can help you create one. Find out more about our customizable pharmacy benefits management plans and streamlined administration.>>

Streamlined Billing Process Saves Time and Paperwork

Save time and do less paperwork with our streamlined billing process. We provide consolidated invoices by patient, regardless of the number of pharmacies your organization uses. All invoice details are organized in one convenient place, including pharmacies, drugs, quantities, patient costs, division subtotals and more. Find out more about how our invoicing can streamline your processes.>>

Detailed Reports Help Effectively Manage Patients

Track your most important data to effectively manage pharmaceutical costs with our highly detailed custom management reports. Custom reports detailing key drug-usage information -- like claim costs and totals by patient -- are provided monthly and are clearly organized in an easy and user-friendly format. Learn more about the reports offered by Outcome Resources.>>

CoP Compliance Reviews

Get a complete medication review to help you comply with Medicare’s Conditions of Participation (CoP). A clinical pharmacist can review each of your patient’s medications on admission for the comprehensive assessment, and again upon any update of the assessment. A detailed pharmacist report is prepared and sent electronically, often within 48 hours. Our reviews meet or exceed requirements specified within the CoPs. Learn more about Medicare Conditions of Participation (CoP).>>

Personal Service from Hospice Pharmacy Benefits Management Experts

Our hands-on customer service approach and unlimited 24/7/365 access to palliative care pharmacists and account managers (no call centers here) ensures you and your patients will receive the best support available. A clinical pharmacist is always available for consulting on important medication management and care decisions, and an account manager is ready to help with admissions and emergency needs, no matter when they happen. And our pharmacists are not tasked with dispensing, which guarantees you get an unbiased perspective on clinically appropriate medications and the focus stays on quality patient care. Find our more about our consultative services.>>

Leverage Clinical Education to Lower Hospice Pharmacy Costs

Staying up-to-date on the latest information is one of the keys to lowering hospice pharmacy benefits management costs. That’s why we offer a myriad of educational opportunities for hospice nurses, management and clinical staff. Many of our educational programs are accredited by the California Board of Registered Nurses for 1 hour CEU. Visit our Education Services page for more information.>>

Additional Benefits of a Partnership with Outcome Resources

  • Pathways and Protocols -- available to assist with appropriate drug selection, dosage, and combinations for management of a variety of symptom complexes that are commonly encountered in hospice patients
  • Training -- in-person and phone training to all appropriate staff at each location to ensure a smooth transition
  • Social Media -- keep abreast of industry news across the nation by consulting our Twitter, Facebook and blog
  • Dedicated Help Desk -- assists pharmacies with billing issues
  • Prescription Discount Savings Card -- allows patients, family members, staff, and volunteers access to discounted prescriptions at many local pharmacies

Simply put, we help hospices succeed

Contact us at 866-877-2053 to see how partnering with Outcome Resources for your pharmacy benefits management needs can help you.

Education Resources and Support for Hospices

Educational Resources and Support for HospicesStay up-to-date on the latest hospice pharmacy benefits management information and tools with a variety of education resources and support at no extra charge. Some courses accredited for nursing continuing education credit.

See all of our educational resources>>

Answers to Common Pharmacy Benefits Management Questions

Answers to pharmacy benefits management questions like:

Pharmacy Benefits Manager

  • Do we have to follow a particular formulary?
  • What about Medication Reviews for CoP Compliance?

More PBM questions and answers>>

Pharmacy Benefits Management for SNF

Receive pharmacy benefits management whether all your patients reside in a skilled nursing facility or just some of them.

Learn more about skilled nursing facility solutions>>

PBM Skilled Nursing Facility Solutions