Medical Drug Management Service™
The change adds up to savings
Argus Health Systems understands the challenge of deciphering high-cost medical claims. With 25 years of experience on our side we can provide actionable information you need to control special medical costs, resulting in quality outcomes and savings where it counts. Medical Drug Management Service™ (MDMS) is a customizable, rules-based product designed to clinically edit and price medical drug claims that helps your organization become more efficient, and supports your initiatives with the same precision you can perform on the pharmacy side of the business for medical claims.
Let the experience of the Argus team change the way you evaluate medical drug claims
Let MDMS™ help manage your medical drug spend and improve your bottom line
- Approximately four percent of health plan membership accounts for $78 billion dollars in specialty/biotech drug spend.
- Management and evaluation of medical drug claim data is difficult with current systems because of the inability to control drug-specific editing and pricing with HCPCS (Healthcare Common Procedure Coding System) Level II codes. Identification of claims submitted with an inaccurate relationship between the drug and the diseases the provider state are being treated, will improve your reporting of medical appropriateness.
- With 600-800 drugs in the specialty/biotech drug pipeline, utilization and spend are projected to increase, requiring tighter control and management.