Philadelphia, Pa. – PerformRx, a full-service pharmacy benefit manager (PBM) with industry-leading clinical programs and part of the AmeriHealth Caritas Family of Companies, announced today that it has been awarded Drug Therapy Management (DTM) accreditation from URAC, a Washington, D.C.-based health care accrediting organization that establishes quality standards for the health care industry. URAC’s DTM accreditation standards assess a range of professional activities, including formulating medication treatment plans, monitoring efficacy and safety of medication therapy and enhancing medication adherence through patient empowerment and education.
“For over 18 years, PerformRx has been dedicated to delivering first-class PBM services to our client health plans and their members,” said Mesfin Tegenu, M.S., R.Ph., president of PerformRx. “URAC’s third consecutive accreditation of our DTM program is an example of our commitment to excellence through our clinical culture. PerformRx is one of only two PBMs to hold both URAC PBM and DTM accreditations, as well as an NCQA accreditation in Utilization Management at the same time.”
PerformRx is a clinically focused PBM that has provided best-in-class services since 1999, including formulary development, DTM and rebate management. The company’s business segments include Medicaid, Medicare and commercial and employer groups plans. PerformRx’s DTM program is designed to optimize therapeutic outcomes and decrease overall cost. Pharmacists and pharmacy technicians review integrated data, identify gaps in therapy, and proactively address any identified issues through personalized consultations with patients and prescribers.
“With a necessary educational component that is often now part of the dispensing of complex and expensive prescription medications, drug therapy management organizations benefit from proving their performance. By meeting rigorous quality standards and measures, URAC has accredited PerformRx as a recognition of its ability to adhere to the best practices related to factors such as coordinated care, counseling and education, and consumer protection,” said URAC President and CEO, Kylanne Green.
URAC’s DTM Accreditation standards cover the essential parts of a DTM business. These standards include driving appropriate therapeutic outcomes for consumers and reducing adverse events; promoting rational, clinically-appropriate, safe and cost-effective DTM through evidence-based medicine; encouraging communication about medication use; supporting population specification, consumer identification and recruitment; and creating a process for DTM outcomes measurement and quality improvement. URAC accreditation brings the pharmacy management industry a commitment to quality, broad-based governance and inclusive standards development. Employers, consumers, regulators and health plans can rely on URAC for identification of the highest standard in DTM.
Founded in 1990, URAC is the independent leader in promoting healthcare quality through leadership, accreditation, measurement and innovation. URAC is a nonprofit organization using evidence-based measures and developing standards through inclusive engagement with a range of stakeholders committed to improving the quality of healthcare. Our portfolio of accreditation and certification programs span the healthcare industry, addressing healthcare management, healthcare operations, health plans, pharmacies, telehealth providers, physician practices, and more. URAC accreditation is a symbol of excellence for organizations to showcase their validated commitment to quality and accountability.
PerformRx LLC is a URAC-accredited, next-generation pharmacy benefit manager (PBM) located in Philadelphia and part of the AmeriHealth Caritas Family of Companies. The company maintains a clinical culture, providing cost-effective therapies and extensive evidence-based programs at an optimal cost to its clients since 1999. PerformRx’s best-in-class pharmacy benefit management services include formulary development, drug therapy management and rebate management. PerformSpecialty® is PerformRx’s wholly-owned and integrated specialty pharmacy. The company’s business segments include Medicaid, Medicare, commercial and employer group plans. For more information, visit www.performrx.com.
About AmeriHealth Caritas
AmeriHealth Caritas is part of the Independence Health Group in partnership with Blue Cross Blue Shield of Michigan. AmeriHealth Caritas is one of the nation’s leaders in health care solutions for those most in need. Operating in 17 states and the District of Columbia, AmeriHealth Caritas serves approximately 5.6 million Medicaid, Medicare and Children’s Health Insurance Program (CHIP) members through its integrated managed care products, pharmaceutical benefit management and specialty pharmacy services, behavioral health services, and other administrative services. Headquartered in Philadelphia, AmeriHealth Caritas is a mission-driven organization with more than 35 years of experience serving low-income and chronically ill populations. For more information, visit www.amerihealthcaritas.com.