Get a better understanding of medication utilization, costs, quality and more with insights from Optum experts and technology. Provided documentation of each patient’s clinical review can help you comply with Medicare Hospice Conditions of Participation (CoPs).
Formulary and Plan Design
Unbiased formulary and plan designs help you provide optimal patient care. Get proactive dispensing recommendations, utilization management edits, and a suite of formulary options, including open, diagnosis-based and closed formularies.
Receive automated patient assessments generated by our proprietary clinical software, which includes more than 20,000 hospice clinical rules. Enter the patient’s information and our system does the rest. An electronic patient assessment form is available on demand.
Provide a patient medication profile review, both upon admission and at least every 15 days thereafter. The pharmacist will provide additional reviews upon request for medication changes, symptom management and other scenarios.
Get an Optum pharmacist’s real-time, prospective drug utilization review upon a patient’s admission and at least every 15 days thereafter. The pharmacist provides a consultation and documentation for medication changes, symptom management and other areas of inquiry.