Introducing MRx Navigate: Whole Patient Care Meets Digital Innovation The new medical management program MRx Navigate offers integrated high-touch and high-tech solutions to enhance and simplify the healthcare experience for health plans and their members. In October 2019, Magellan Rx Management (MRx) introduced a new multifaceted, holistic medical management program, MRx Navigate, to support MRx pharmacy benefit manager, employer, and government clients by providing an integrated view of the member and to offer standalone services for other clients. Through MRx Navigate, members have access to a coach or care manager when they are newly diagnosed with a health condition, recently discharged from the hospital, interested in making a lifestyle change, or have questions about healthcare decisions. After an initial connection is made, MRx Navigate staff will proactively reach out to members and provide comprehensive education and adherence programs to improve healthcare decision-making and engagement. Caroline Carney, M.D., M.Sc., FAPM, CPHQ Chief Medical Officer Magellan Rx Management
MRx Navigate eliminates gaps in care and improves adherence through digital tools, online resources, and apps — and by leveraging analytics that identify members at risk for nonadherence or ineffective medical and pharmacy utilization. Driven by data-led, evidence-based algorithms, the program uses data from multiple sources to identify members in need of care-management or disease-management outreach and determine the intensity of intervention needed. Additionally, utilization-management support is provided for medical and behavioral health requests for services. MRx Navigate is a comprehensive program including four different programs to cover multiple facets of care management.
1. Navigate Change With the objective of assisting members on their road to recovery, Navigate Change connects members with nurses, behavioral health professionals, and clinical pharmacists. The Navigate Change team works to ensure members receive the proper medications, education, and network resources that will
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