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myMatrixx is a full-service pharmacy and ancillary medical benefits management company focusing on the “Customer Experience.”
Service or Product Description
Pharmacy Benefit Management
Our focus on workers’ compensation has led us to develop specific solutions to simplify pharmacy claims management for our clients. We differentiate ourselves by combining advanced technology, proactive clinical management and exceptional customer service. Our unique approach to pharmacy benefit management, 1 Click Pharmacy™, automates and consolidates processes while allowing our clients to customize programs based on their needs.
Our program will increase network compliance and assist with returning employees back to work in an efficient and clinically appropriate manner. The end result for our clients is lower costs on pharmacy and an increase to your bottom line.
1 Click Ancillary® provides the most comprehensive solution for managing ancillary products and services for workers’ compensation claims. With a national provider network we can service any area in the country with cost effective durable medical equipment (DME), home health care, transportation and more. Our program provides claims managers with the flexibility to submit a referral five ways including phone, email, online, fax and live chat.
With advanced technology managing the entire order process, all parties involved have complete visibility to a claim in our robust web portal, myMatrixx 360°. Claims professionals reduce the amount of time spent on orders and can authorize claims, track orders and review claim history with just one click of a mouse. Additionally, we make ordering the right products and services simple with a formulary-driven tool, the Care Cart®. Designed with the claims manager in mind, the Care Cart offers pre-bundled products and medical services based on a specific injury type.
At myMatrixx, we practice proactive clinical management with the goal of preventing avoidable medical expenses, reducing pharmacy costs and improving outcomes for injured workers. We call this approach “Get Ahead of the Claim™,” a program in which our clinical team targets specific areas of concern including misuse, abuse and fraud. All of our clinical programs are integrated into our robust web portal myMatrixx 360° providing complete visibility throughout the process.
myMatrixx has maintained a clinical focus since inception and we base our solutions on “doing the right thing” for the client and the patient. Our approach yields proven results including an industry leading generic efficiency rating and lower opioid utilization across our client base.
11/11/2015 - 11/13/2015
06/07/2015 - 06/10/2015
Published in 05/23/2014 in Claims Management category by myMatrixx
Twenty years ago there were only 10 specialty drugs on the market and they were rarely seen in workers’ compensation. Today there are over 300, and drugs such as anticoagulants and antivirals are making their way into claims.
Published in 03/28/2013 in Workers’ Comp & Disability category
This study looks inside a catastrophic work comp case that included multiple opioids totaling over $27,000 a month. The case was brought to myMatrixx for review and the outcome delivered a savings of over $250,000 per year for the claim.
Published in 01/10/2013 in Claims Management category
myMatrixx takes an in depth look at the use of medical marijuana and the impact it is having on workers’ compensation.
Published in 12/19/2011 in Workers’ Comp & Disability category by A. Phillip Walls, R.Ph., Matt Schreiber, MBA
Use of prescription painkillers has increased in staggering proportions compared with other medication classes, in terms of the number of prescriptions written, costs and incidence of overuse and abuse.
Published in 03/24/2011 in Workers’ Comp & Disability category by A. Phillip Walls, R.Ph. and Matt Schreiber, MBA
Opioid abuse causes great concern in the workers' compensation industry. Communication with physicians and pain management guidelines can improve outcomes.