Pharmacy Benefit Solutions

Visante’s Medicare consulting services are under the leadership of Wendy Weingart (MS, RPh) Senior Vice President, Managed Care Services, Lisa Howard (BS, IT Specialist) Senior Vice President, Medicare Compliance and Maureen Miller BSN, MPH), Senior Vice President, Government Programs.

Medicare Plan Sponsors

Visante provides PBM assistance to both Medicare Advantage Part D (MA PD) and Prescription Drug Plan (PDP) sponsors. We bring our combined industry, government, and consulting experience along with our consultants’ in-depth program knowledge to each consulting engagement. Our goal is to ensure that MA PD and PDP sponsors thrive in today’s healthcare reform environment. Use these link to learn more about Visante’s Medicare Services.

Pharmacy Benefit Management Focused Services

PBMs have a unique place among manufacturers, providers and payers in the pharmaceutical marketplace. Visante’s PBM consultant teams have the hands-on experience, drive, and specialized knowledge base to navigate through the many changes in today’s regulatory environment while focusing on ways to maximize return on your investment. Use this link to learn more about our PBM Services.  A partial list of these includes:
– Accreditation support
– Formulary analysis
– Intervention platform analysis
– Utilization management program analysis
– Product packaging to optimize market segment uptake

Claims Reject Analysis

CMS has increased its focus on claims rejects and their affect on beneficiary access. Our consultant teams include pharmacists and adjudication specialists with experience in multiple adjudication systems. Visante’s rejected claims analysis emphasizes:
– Transition of Coverage (TOC)
– Medicare Part B vs. Part D drugs
– ESRD drugs – Protected class drugs
– LTC member claims
– Member Access
– Pharmacy messaging