“Healthcare Solutions is uniquely positioned to integrate our BOLD Rx & BOLD PPO networks to provide a unique provider management program...,” said Danielle Lisenbey, chief executive officer for Broadspire.
Atlanta - (PRWEB) April 17, 2012
Healthcare Solutions and Broadspire, a Crawford Company, today announced the development of an integrated pharmacy benefit management (PBM) and preferred provider organization (PPO) program to create a next generation pharmacy management solution.
The integrated program will launch later this year as a pilot in Georgia and Pennsylvania. Under the partnership, Healthcare Solutions’ extensive pharmacy network will join Broadspire’s new BOLD® Rx, which is a composition of the nation’s leading pharmacy benefit managers and stands for Broadspire’s Original Landmark Design.
“Healthcare Solutions is uniquely positioned to integrate our BOLD Rx and BOLD PPO networks to provide a unique provider management program to address both utilization of physician dispensing of prescription drugs,” said Danielle Lisenbey, chief executive officer for Broadspire. “This enhanced PPO and PBM strategy allows Broadspire and Healthcare Solutions to take appropriate actions to influence positive outcomes for claimants and our clients.”
The enhanced medical management program combines Broadspire’s medical expertise with Healthcare Solutions’ technology and strong pharmacy and preferred provider networks to provide a complete integrated care solutions.
“Through clinically-based pharmacy and specialty management programs, along with best-in-class PPO network management, Healthcare Solutions will help Broadspire administer cost and utilization management controls that produce maximum program savings, efficient claims handling and optimal clinical outcomes,” said David A. George, chief executive officer of Healthcare Solutions. “Integrated data will afford the network teams the information necessary to execute specific contracting and educational initiatives to support integrated care practices.”
The new partnership to provide comprehensive pharmacy management services builds upon the existing PPO and specialty services partnership already established between the two companies. For the past two years, Healthcare Solutions and Broadspire’s industry-leading durable medical equipment (DME) formulary program has produced savings of 43% or more for Broadspire’s customers. Additionally, the integration of Healthcare Solutions’ PPO network in Broadspire’s BOLD PPO has resulted in greater network penetration rates of 76% and improved outcomes for the company’s customers.
About Healthcare Solutions:
Healthcare Solutions, Inc. is the parent company of Cypress Care and Procura Management. Through its affiliated companies, Healthcare Solutions serves as a health service company delivering integrated solutions to the property and casualty markets, specializing in workers’ compensation and auto liability/PIP. The company’s customers include insurance carriers, third party administrators (TPAs), managed care organizations (MCOs), government agencies and self-insured employers. Utilizing market-leading technology, Healthcare Solutions delivers demonstrated benefits and savings complemented by deep industry expertise. For more information, please visit http://www.healthcaresolutions.com.
Broadspire, a leading international third party administrator for large self-insured organizations, offers a broad array of customized claim and medical management services designed to increase employee productivity and contain costs. Broadspire's U.S. offering of workers compensation, auto and general liability claims administration, medical management and absence and care management, is available bundled or individually. In addition, Crawford provides liability, motor and property claims management services in Europe under the Broadspire brand. Broadspire is based in Atlanta, Ga., with a network of 85 locations throughout the United States (http://www.choosebroadspire.com) and Europe (http://www.Broadspire.eu), including the United Kingdom (http://www.broadspiretpa.co.uk).
Based in Atlanta, Ga., Crawford & Company http://www.crawfordandcompany.com) is the world's largest independent provider of claims management solutions to the risk management and insurance industry as well as self-insured entities, with a global network of more than 700 locations in 63 countries. The Crawford System of Claims Solutions(SM) offers comprehensive, integrated claims services, business process outsourcing and consulting services for major product lines including property and casualty claims management, workers compensation claims and medical management, and legal settlement administration. The Company’s shares are traded on the NYSE under the symbols CRDA and CRDB.