Specialty Pharmacy v. 3.0 RPT 1 - Reporting Mandatory Performance Measures to URAC


The Basics

Your organization must report URAC's mandatory measures to URAC.

Specialty Pharmacy v. 3.0 PM 16 - Program Evaluation Methodology Disclosure


The Basics

Your pharmacy needs to be able to disclose to prospective and current clients upon request, the following information about the patient management program:

Specialty Pharmacy v. 3.0 PM 15 - Program Evaluation Outcomes Reporting


The Basics

The pharmacy must report the results of its evaluation of the PM program (described in the previous standard) payers and

Specialty Pharmacy v. 3.0 PM 14 - Demonstrating Patient Management Program Value


The Basics

The pharmacy must have the capacity to demonstrate the value of its PM program.

Specialty Pharmacy v. 3.0 PM 13 - Quality Improvement


The Basics

The pharmacy must monitor and periodically evaluate the effectiveness and quality of the PM program. 

Specialty Pharmacy v. 3.0 PM 12 - Participating Patient Rights and Responsibilities


The Basics

Once a patient is enrolled in the patient management program, the pharmacy must provide to the patient a list of rights and responsibilities.

Specialty Pharmacy v. 3.0 PM 11 - Patient Management Integrated Approach


The Basics

The pharmacy's patient management program description or P&Ps should clearly describe how patients are to receive access to specialty drugs, specifically including how the ph

Specialty Pharmacy v. 3.0 PM 10 – Communication and Education Materials


The Basics

The patient management program description or policies should provide a clear plan of communications with patients.

Specialty Pharmacy v. 3.0 PM 9 - Informed Decision-Making with Patients


The Basics

Counseling and education of patients is an essential part of a patient management program.

Specialty Pharmacy v. 3.0 PM 8 – Coordination of Care


The Basics

The patient management program should include processes involving the coordination of care for participants whom the program has targeted and for whom the program has developed c