MSC Care BluePrint Medical Supply and Durable Medical Equipment Formulary
Managing utilization and spend for claimants requires a carefully orchestrated plan. The MSC Care BluePrint formulary ensures fulfillment of clinically appropriate products at the right price. Our customizable medical supply and DME formulary relies on widely accepted clinical guidelines and utilization management controls, and builds on MSC’s 25 years of data and experience.Reduces administrative burdenCustomers can simplify authorizations and follow-ups – reducing their costs and administrative burden – with the streamlined confirmation of products based on a rules-driven formulary. The formulary generates automatic referrals that can be quickly reviewed online.
Customizable and flexible
MSC Care BluePrint can be customized to incorporate the customer’s special instructions and utilization review guidelines. The customized program remains flexible by accommodating adjustments or modifications to MSC Care BluePrint based on the customer’s needs.
Anticipates claimants’ needs
For each unique ICD9 diagnosis code, the formulary identifies the 10 most common products and estimated duration/rental period, helping claims professionals anticipate the products and services each claimant will need and predict the length of time in use.
Ensures claimants receive clinically appropriate DME referrals
Because it is based on established ACOEM and ODG clinical guidelines, payors can feel confident their patients receive the proper DME products.
Reduces costs with leveraged volume discounts and proprietary vendor selection software
Our proprietary vendor selection software ensures consistent selection of best-in-class providers using a combination of price, quality score and service. Customers benefit from competitive rates available through MSC’s high-volume discounts.
MSC delivers comprehensive care management through its technology-driven solutions – including MSC Care BluePrint – offered to all customers at no additional charge.