Mike Carmody is the director of DME/MedRx pharmacy services at Emdeon. He is responsible for pharmacy solution product development and workflow efficiencies. Emdeon is a leading provider of revenue and payment cycle management and clinical information exchange solutions, connecting payers, providers and patients in the U.S. healthcare system.
In today’s world, April is the time to begin preparations for the wave of patients who will start visiting pharmacies as early as August to be immunized. On the heels of a severe flu season, past trends suggest the demand for flu shots this year will be tremendous, says Emdeon's Mike Carmody.
You’ve seen the sign, probably early fall, posted right there on the marquee of the local pharmacy: “Most insurance accepted.” It means that when a patient stops by the pharmacy for a flu shot, the pharmacy can probably bill the health plan for the covered medical benefit. Quick, easy and (mostly) painless. This trend in retail medical claiming, or covering and billing for medical benefits at the pharmacy, is quickly spreading to other products and services, and is largely expanding the scope of convenient, clinical care options for both the patient and the pharmacy.