Medicare Part D: A Unique Approach to Quality and Compliance Illustrated by PDE

Medicare Part D plans are challenged with managing a wide variety of workflows and processes efficiently in order to provide high quality prescription drug services to members, demonstrate measurable value, control costs, and comply with evolving compliance regulations. For example, accuracy and proper turn-around time shape the results of Prescription Drug Event (PDE) reports and reconciliations, member communications, Plan Finder submissions, and other reports and reconciliations. It is imperative that these highly regulated processes are effectively controlled and monitored.

Many Part D plans and pharmacy benefit managers are employing the Lean Six Sigma methodology to manage these complexities in Part D program functions. At Argus Health, a DST company, we take quality a step further by combining Lean Six Sigma with workforce operational excellence tools to help Part D plans achieve more success with sustainable improvement.

Complete the following form to learn more through our whitepaper, "Medicare Part D: A Unique Approach to Quality and Compliance with Integrated Metrics."




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