About Helping Hand Health

We are achieving 5 Star results for Medicare Part D clients while achieving a positive member experience.  

Our CMS Part D compliant program ensures higher CMR completion rates, while providing a better member experience. Our program can be customized to meet the unique needs of our health plan clients.

Our team of pharmacy operations and pharmacy IT experts work with health plan clients to successfully transition PBM's.

We work directly with our health plan clients' PBM's to validate reporting, manage issues and implement corrective action plans to assist the health plan compliance department in oversight of their delegated vendors.

Our team of pharmacy compliance experts have helped numerous health plans successfully remediate CMS Part D audit findings. We will help you develop and implement corrective action and monitoring plans. 

Health plan clients can route pharmacy related calls to our pharmacy helpdesk to field questions pertaining to claim rejections, formulary, clinical inquiries, initiating coverage determinations or authorization status.

Delegating coverage determinations and appeals to a PBM is a concern for some clients who question whether the interests of the PBM are aligned with the interests of the client. We process coverage determinations and appeals in collaboration with health plan medical directors in a manner that ensures optimal cost management and compliance. Requests can be submitted via phone, fax, or electronically.