Magellan Rx Management Achieves Perfect CMS Audit for Medicare Part D
14 3월 2022 - 7:30PM
Business Wire
Magellan Health, Inc. today announced that Magellan Rx
Management (MRx), the full-service pharmacy benefit management
division of the company, received a perfect audit score from the
Centers for Medicare & Medicaid Services (CMS) for its Granite
Alliance Insurance Company Employer Group Waiver Plan (EGWP), a
type of Medicare Prescription Drug (Part D) plan. The plan provides
prescription drug benefits for eligible individuals 65 years and
older and eligible individuals with disabilities.
The program audit was conducted in September 2021 and tested
three main areas of the program: Compliance Program Effectiveness
(CPE); Formulary and Benefit Administration (FA); Coverage; and
Coverage Determinations, Appeals, and Grievances (CDAG). The
results of the audit showed zero invalid data submissions, zero
findings, zero observations, and zero “Corrective Action Plans
Required” (CARs) or “Immediate Corrective Action Plans Required”
(ICARs).
“It is truly remarkable to see zero conditions, zero
observations, and a glowing review from CMS across all areas that
were audited - CDAG, Formulary Administration, and Compliance
Program Effectiveness,” said Mostafa Kamal, chief executive officer
at Magellan Rx Management. “I’m incredibly proud of our team and
their daily commitment to support the Medicare beneficiaries that
our clients entrust us with, and this CMS audit result is further
validation of Magellan Rx Management’s relentless pursuit of
excellence.”
About Magellan Rx Management: Magellan Rx Management, a
division of Magellan Health, Inc., is a next-generation pharmacy
organization that is delivering meaningful solutions to the people
we serve. As pioneers in specialty drug management, industry
leaders in Medicaid pharmacy programs and disruptors in pharmacy
benefit management, we partner with our customers and members to
deliver a best-in-class healthcare experience.
About Magellan Health: Magellan Health, Inc. a is a
leader in managing the fastest growing, most complex areas of
health, including special populations, complete pharmacy benefits
and other specialty areas of healthcare. Magellan supports
innovative ways of addressing the whole health needs of members
through technology, while remaining focused on the critical
personal relationships that are necessary to achieve a healthy,
vibrant life. Magellan's customers include health plans and other
managed care organizations, employers, labor unions, various
military and governmental agencies and third-party administrators.
For more information, visit MagellanHealth.com.
(MGLN-GEN)
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version on businesswire.com: https://www.businesswire.com/news/home/20220314005005/en/
Media: Lilly Ackley, ackleyl@magellanhealth.com, (860)
507-1923
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