Image

6:53 PM / Tuesday April 13, 2021

9 Feb 2018

PerformRx receives NCQA Utilization Management Accreditation

  • Facebook
  • Twitter
February 9, 2018 Category: Local Posted by:

ABOVE PHOTO:  Mesfin Tegenu M.S., R.Ph., president of PerformRx

 

PerformRx, a URAC-accredited, full-service pharmacy benefit manager (PBM) with industry-leading clinical programs and part of the AmeriHealth Caritas Family of Companies, is proud to announce it has achieved Utilization Management Accreditation from the National Committee for Quality Assurance (NCQA). NCQA Utilization Management Accreditation focuses on consumer protection and customer service improvement. NCQA standards recognize that organizations that apply for accreditation have open access networks, and can improve service quality and utilize customized structures to meet purchaser needs. The accreditation is effective for two years.

“We’re delighted to receive this award, our first from NCQA,” said Mesfin Tegenu, M.S., R.Ph., president of PerformRx. “We are dedicated to quality and hold ourselves to the highest industry-recognized standards, including rigorous third-party measurement and validation of our performance.

This recognition demonstrates our commitment to quality and speaks to the efficiency of PerformRx’s Utilization Management program and prior authorization platform, PerformPA.”

“Achieving Utilization Management Accreditation from NCQA demonstrates that PerformRx has the systems, process and personnel in place to conduct utilization management in accordance the strictest quality standards,” said Margaret E. O’Kane, president, NCQA.

PerformRx fosters a clinical culture and has provided best-in-class services since 1999, including formulary development, drug therapy management, prior authorization, and rebate management. Its clients include Medicaid, Medicare, commercial, workers’ compensation, and employer group plans.

About PerformRx

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.

Image

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 more than 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 30 years of experience serving low-income and chronically ill populations. For more information, visit www.amerihealthcaritas.com.

About NCQA

NCQA is a private, non-profit organization dedicated to improving health care quality.

NCQA accredits and certifies a wide range of health care organizations. It also recognizes clinicians and practices in key areas of performance. NCQA is committed to providing health care quality information for consumers, purchasers, health care providers and researchers.

  • Facebook
  • Twitter

Leave a Comment

Recent News

Color Of Money

The Business Corner: Nbeauty hair salon continues to grow during the pandemic

April 9, 2021

Tweet Share Pin Email By Teresa Lundy For this edition of The Business Corner, I interviewed Naeemah...

Go With The-Flo

Tsebiyah Derry is slaying music streaming platforms with her new love ballad, “Coastline”

April 9, 2021

Tweet Share Pin Email ABOVE PHOTO: Tsebiyah Derry By Florence Anthony According to reports, fans of DMX’s...

Seniors

Be a stroke hero – how to identify the signs of stroke and why you should act fast

April 9, 2021

Tweet Share Pin Email BPT The sudden onset of stroke symptoms can happen to anyone at any...

Technology

Details from more than 500 million Facebook users found available on a website for hackers

April 4, 2021

Tweet Share Pin Email NEW YORK (AP) — Details from more than 500 million Facebook users have...

Commentary

Alawfultruth: The caste system within

April 9, 2021

Tweet Share Pin Email In the United States, Black and brown people are usually placed into the...

Horoscopes

SUNscopes for the week of April 11, 2021

April 9, 2021

Tweet Share Pin Email All Signs: This week the Sun and Mercury are dancing with lucky moneybags...

The Philadelphia Sunday Sun Staff