Pharmacy Benefit
management solutions
.
We're here to
Build A Smarter Pharmacy Management Platform
With advancing technology needs and the importance of appropriately managing pharmacy spend for your hospice, Wise Hospice Options is committed to providing a full-service pharmacy benefit management solution that aligns with the values and goals of your hospice.
We believe that by streamlining processes and delivering best-practice clinical insights, alongside the benefits of utilizing our expansive pharmacy network pricing, our clients can achieve a level of financial performance that consistently beats overall national averages.
Alongside our vast pharmacy network of over 70 thousand participating pharmacies nationwide, we have built an integrated pharmacy benefit management platform to help our hospice members streamline pharmacy workflows, get a better understanding of their clinical performance, and experience the impact of a customer service team driven towards excellency.
What We Offer Our Customers
In-depth Pharmacy Reporting
Real-time Access to your Prescribing Data
Technology Solutions
Real-Time Interface Technology
Clinical Services
Medication Reviews, Clinical Education, & 24/7 On-call Support
24/7 Customer Support
Having problems?
Performance Benchmarking
Reporting
Deliver performance and
Breakout the Data that Matters
Defining Key Metrics
Understanding and effectively managing pharmacy reporting metrics can be a daunting task for any hospice administration team. With our easy to read pharmacy benefit standard reports we provide comprehensive breakdowns of each key metric we believe brings the most value for making informed decisions that impact overall cost. This includes in-depth utilization data to track performance and efficiency on the patient, prescriber, and diagnoses level. Our clinical finance teams will help your staff extract the maximum value out of having this data readily available.
Through experience, our clinical team has found that the following key metrics are essential for running an efficient and cost effective pharmacy program. Each of the following metrics are delivered to our clients with 100% transparency.
Hospice KPI Reporting Criteria
- Top Medications by Cost
- Top Medications by Volume
- Top Therapeutic drug groups by volume
- Medication Cost by Disease Category
- Cost PPD Summary
- Top Prescribers by Cost
- Brand & Generic Utilization Summary
- Prescriber Utilization Detail
- Patient Utilization Detail
- Trend Analysis
- Medication Utilization Summary
- Medicare Cost Report
Benchmark Pharmacy Performance & Establish Better Trends
Every month our hospice’s receive a comprehensive pharmacy benefit executive summary with detailed analysis of benchmarked key performance indicators. Our clinical finance team dedicates valuable time to help each hospice broaden their understanding of KPI’s in every report, and guide clinicians and administrative staff towards a “best practice” path. Ultimately our goal is to empower you to fine-tune your utilization and increase clinical and financial performance. The availability of this powerful and accurate data assists in making informed decisions about overall prescribing approach, and identifies areas for improvement on cost or effectiveness for your patients.
Automated CR-8358 Reports
Wise Hospice Options currently supports the generation and data export of the Medicare Drug Cost Report (CR-8358) for major electronic health record systems. Each file is appropriately formatted to your hospice’s needs.
Reports can be requested every 1-4 weeks at our client’s discretion.
How our reporting brings
Value to your hospice
Understand your Cost PPD trends
We're Under $6 PPD
Benchmark yourself
Data Opportunities
Expert Review
Monthly Executive Summaries
24/7 on demand pharmacists
Clinical Services & Education
Clinical expertise to help
Fine Tune Your Medication Utilization
Pharmacist Medication Reviews
The current Conditions of Participation required by CMS state that a comprehensive medication review must be completed by a pharmacist for each new admission into your hospice program. These comprehensive reviews can be completed by our clinical pharmacist team within the allowable time frame. Each of our pharmacists have been trained to give a thorough review of all patient’s prescription, over-the-counter medications, and other alternative treatments that could affect medication therapy. Our pharmacists will help you identify medication effectiveness, side effects, actual or potential drug interactions, and duplicate drug therapy scenarios.
Medication review notifications for our clinicians can be automated to send alerts for any medication profiles pending review. This strengthens workflow efficiency and removes the need for your staff to manually alert our clinical team.
24/7 Clinical Resources
All of our hospice clients receive unrestricted access to a dedicated 24/7/365 clinical support line. Collaborate directly with one of our experienced clinical team members in seconds.
99% Answer RateUnder 20 Second Hold Times
- 24/7 clinical support line to answer all questions related to medication pricing, utilization, and drug classification.
- Complex symptom management collaborations.
- Assistance with therapeutic interchange to identify lower cost medications with equal or better effectiveness.
- Medication profile reviews done within your electronic health record system
- Emergency medication conversions.
Hospice Education & Training
Wise Hospice Options offers our hand selected hospice curriculum as well as a monthly regulatory newsletter to help support hospice organizations efforts to stay informed within our heavily regulated environment. Courses & newsletters are provided by a former hospice COO with over 20 years of education & training experience.
2019 Available Courses:
- Pain Management in the Hospice Setting
- Common Symptom Management in the Hospice Setting
- Starting the Conversation: Assisting Patients Set Appropriate End of Life Goals
- Managing COPD & Associated Symptoms
- Documenting to Eligibility & Level of Care
- Appropriate DePrescribing: Related vs Unrelated
- Alternate Routes of Administration
- Methadone: The Unique Opioid
Quick Fact
Our Clients Get 24/7 Pharmacist Access Without the Extra Fees
How our clinical team brings
value to your hospice
PharmD MEDICATION REVIEWS
COVER THE CoPs
24/7 service without the wait
Under 20 second hold times
Inspiring Clinical Education
Education
on-demand
Simple & Streamlined
Technology Solutions
Quick Fact
Wise Is Currently Interfaced With More Than 11 Hospice EHR's
It's about time.
Building Smarter Workflows.
Manage Data Around the Patient - In Real Time
It has become increasingly vital to coordinate patient care across all settings in order to provide care that is safe, timely, and effective. We believe that the most efficient way for hospice to make the largest positive impact on their care coordination is to effectively leverage the connectivity between their clinical systems and their PBM platform. This technology plays an important role in enhancing patient care and creating operating efficiencies, allowing for more integrated, secure, and consistent workflows with noticeable reductions in inefficient workflows and clinical mistakes.
Wise Hospice Options has spent years building and refining the technology that enable seamless and secure data integrations between your electronic health record and our PBM platform. Our platform is designed to optimize workflows in the clinical environment so that your clinical staff don’t get bogged down by barriers to care.
The Latest
Electronic Health Record Interface Technology
Real-Time EHR Integrations
In collaboration with over 11 major electronic health record providers Wise Hospice Options has developed interface technology that bridges the gap between PBM and hospice. With a fully integrated demographic and medication interface
Our development team works continuously to keep your hospice up to date with the latest functionality or QOL improvements available from your electronic health record provider.
- Real-time transfer of patient demographic information including diagnosis & allergies. Data flows between systems without needing to enter the data twice or fax patient profiles into our admission team.
- Immediate hospice benefit coverage on admission.
- Automatic end of eligibility when patients are discharged.
- Real-time transfer of complete medication profile on admission.
- Control hospice covered medications directly from your EHR system.
- Pre-Populate medications within our E-Prescribing system for immediate secure prescribing.
- Increase patient data accuracy with a reduction in effort.
- Limit redundancy.
Eliminating Redundancy, Building Better Workflows, & Increasing Accuracy
- Say goodbye to tedious repetitive administrative tasks on every new admission. Real time patient profiles are automatically pulled into our system without needing to fax or call in patient information.
- Patient medications pre-populate into our E-Prescribing system allowing physicians to immediately E-Prescribe without having to manually set up prescriptions on their own.
- All patient profiles are accurately transferred into our system limiting the possibility of verbal or duplicate entry mistakes.
Minimum disruption. Maximum Flexibility.
Integrated
E-prescribing
- Get a holistic view of your patient, including their primary pharmacy, active medications, allergies, PDMP records, & more.
- View up to 2 years of pharmacy fills for controlled substances without needing to leave the app.
- iPrescribe SmartSig feature will pre-populate with appropriate prescribing directions and frequency options.
- Secure token based system to eliminate abuse.
/01
Simple & Fast
Streamlined access to critical prescribing tools, in-workflow and optimized for your phone.
/02
Focused
Intelligent user experience that helps you focus more time on patient care and less on paperwork.
/03
Comprehensive
360-degree view of your patients’ medication history, adherence patterns, and formulary benefits.
how our technology brings
value to your hospice
Faster workflows
It's about time
Better accuracy
Reducing Risk
Cutting Edge
24/7 Development
We have solutions
24/7 Customer Support
Get help fast
A Dedicated Fleet of Support & Training Staff Available 24/7
Unlimited Support Access
Having problems? we have solutions...
Providing customer-centric experiences to each of our hospice clients is high on our priority list. Hospice is a 24 hour business and around the clock availability of high quality support services sets us apart from our competitors. Our highly trained client services team is in place 24/7/365 to assist your clinical or administrative teams with quality support services without excuses. We aim to build loyalty and trust with every member of your hospice who requires help when they need it most.
AccessibilityWithout the Wait
Our client services team coordinates with all local pharmacies within our network to resolve any issues related to claim rejections or processing errors.
Get a prior-authorization for a medication off formulary or above dollar limits set by you with a quick 3 minute phone call. Our average wait times are under 20 seconds long.
Out in the field and unable to access your EHR for an admission? Call us 24/7 and get your patient medications without delays.
Dedicated LTC Services
Managing patient populations utilizing LTC facilities and pharmacies has never been easier. Our team is trained to work real-time with facilities and pharmacies to make sure patients are appropriately being billed to hospice.
On-Demand
Systems & Workflow Training
Initial & Ongoing Training
Making significant changes to your organization’s process or workflow can greatly impact staff. Upfront pre-implementation training is provided on-site by our clinical and operations training team. We’ll help your staff become proficient in their workflows within each of our systems and give them the proper resources to troubleshoot potential problems.
Additional online training sessions can be scheduled with our experts before and after implementation at no additional cost to help users who struggle, or new members of your staff.
Quick Fact
Wise Support Staff Have An Average Answer Rate of 99% In Under 20 Seconds.
how our 24/7 support team brings
value to your hospice
Help when you need it
99% Answer Rate
20s hold times
A team dedicated to proactive management
Stay in the loop
Dedicated Training Staff
Keep it Simple
Let's make a difference
together
Build a streamlined pharmacy management strategy for your hospice organization today.