MDNY Healthcare Challenge MDNY Healthcare is a 75,000+ member, physician-owned HMO based on Long Island, New York. We began working with MDNY as the HMO's Pharmacy Director, organizing and driving the Pharmacy and Therapeutics Committee, overseeing pharmacy benefit management administration and providing insight on industry trends, plan design and clinical strategies. Strategy Using industry research and trend analyses, we developed a revamped plan design, designed and implemented streamlined policies and operational procedures, and conducted comprehensive data analysis to evaluate the success of the programs throughout the development process. Research revealed that shifting from a closed formulary to a three-tier benefit plan would allow members greater access to needed drugs and treatment options while still maintaining costs. Policies we initiated strengthened the relationship between MDNY and its pharmacy benefit manager and increased the quality of care and level of information given to providers. Results Total pharmacy costs increased by only 3.1% last year, compared to the national average of more than 15%. Through our comprehensive data analysis and audit, we were able to recover overpayments made by the pharmacy benefit manager. Our policy initiatives also laid the groundwork for NCQA accreditation. An evaluation of pharmacy benefit managers resulted in over $1.5 million in administrative cost savings for MDNY. In addition, the move to the new prescription benefit manager complimented the clinical and physician initiatives. These factors have allowed MDNY to continue staying ahead of national drug trends.	Inteq  MDNY Healthcare  VitaRx  Northwest Savings Bank  America's Family Benefit Plan
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