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QCSI Announces Strategic Partnership With RxEOB to Provide Health Plan Sponsors & Members With Pharmacy Benefit Solutions; Strategic Partnership to Empower Health Plan Sponsors and Members With Tools to Make Cost-Effective Prescription Drug Choices

Posted on: Wednesday, 23 August 2006, 12:00 CDT

QCSI(R) (Quality Care Solutions Inc.), a leading provider of advanced information technology and enterprise application software and services for health insurers and benefits administrators, announced today a strategic partnership with RxEOB, LLC (RxEOB), a leading developer of consumer-directed pharmacy benefit tools for health plans, employers and third-party administrators (TPA). This partnership will provide users of QCSI's QNXT Case Management and QCSI's MyHealthBank Consumer-Directed Healthcare (CDH) products with access to RxEOB's sophisticated Pharmacy Benefit and Cost Management System, which helps health plan sponsors and their members lower prescription drug costs and maximize the value of the pharmacy benefit plan.

The planned integration of RxEOB's products with QNXT Case Management will provide clinical support staff with tools to quickly and easily identify high-risk patients by querying the pharmacy claims data through customized filters. Managers can review patient-specific information to monitor drug utilization and compliance with prescribed drug therapies. Users can also conduct online research regarding available therapeutic options and related patient costs.

Through the MyHealthBank portal, members can manage their medical benefits, cash accounts, and with this planned integration, their pharmacy benefits using RxEOB's versatile tools. In addition to tracking their specific pharmacy data, RxEOB will allow members to compare drug prices, educate themselves on drug side effects and interactions, as well as identify potential alternative drug therapies that they may want to discuss with their physicians.

"QCSI's advanced technologies and product architecture are a natural fit with RxEOB's Web-based system, and our planned integration will deliver a powerful package for more effective healthcare administration," said Robert Oscar, CEO of RxEOB. "With the cost of prescriptions increasing every year, RxEOB's Pharmacy Benefit and Cost Management System will give health plan case managers and CDH customers tools to make better informed decisions, help them control costs and boost customer awareness."

Dave Engert, president and CEO of QCSI, stated, "Most healthcare consumers in the U.S. are not aware of how much prescription drugs really cost, with their exposure primarily being with co-payments instead of actual cost. As part of QCSI's ongoing commitment to provide the leading integrated solution for enterprise care management, our partnership with RxEOB will help our customers deliver high value to their members/consumers by enabling them make more informed decisions about prescription medication."

RxEOB's patent-pending Pharmacy Benefit and Cost Management System helps health plan sponsors and their plan members to lower prescription drug costs and maximize the value of the pharmacy benefit plan. The RxEOB system modules provide targeted decision-support information to critical health plan functions. The system includes: Plan Modeling Module, Member Module, Administrator Module, Data Manager Module, Customer Service Module, and Care Manager Module.

QNXT Case Management provides complete care management functionality across the continuum of care. It allows case managers to immediately identify potential at-risk cases and provides real-time access to the most current benefits, claims and medical management data. With flexible workflows and stratified queuing, QNXT Case Management is fully configurable, providing health plans with the ability to create assessments and events based on their plan membership and unique processes.

The MyHealthBank suite of CDH applications gives users solid footing to build efficiencies into their business processes today. The MyHealthBank suite includes three independent, interlocking components -- Direct, Transact, and Finance -- that provide a Web-based, self-service portal for cash account management, enrollment, comparison shopping and decision support.

About RxEOB

RxEOB, a Richmond, Va.-based company established March 2000, provides secure, personalized, Web-based and branded decision-support applications that allow health plan members and insurance plans to better manage pharmaceutical benefits and save money. These tools enable consumers to research their medications and find cheaper alternatives, as well as granting access to customized records to help them track their medications. The tools help health plans and employers by enabling them to reduce healthcare costs through better management of drug benefits.

Cited by a global independent research company as a leader for healthcare claims platforms, claims platforms for consumer-directed health, and claims platforms with integrated medical management, QCSI is empowering companies for "The Next Healthcare Economy, Without Information Boundaries." The company is celebrating more than 12 years of delivering advanced technology enterprise solutions that empower health insurers, benefits administrators, and healthcare consumers to automate healthcare administration, lower the cost of care, and improve outcomes. QCSI's service oriented architecture (SOA) applications enable health plans flexibility to, reduce costs, improve customer service, increase profitability, expand market share, and prepare for government regulations, including HIPAA. QCSI's award-winning enterprise applications include the QNXT product family (Medical, Dental, Case Management, Accounts Receivable, View, Connect, and AutoQ), and the Web-based MyHealthBank suite (Transact, Direct, and Finance), proven applications and solutions for the rapidly growing consumer-directed healthcare segment. Headquartered in Phoenix, QCSI can be contacted at 888-940-6432 or via e-mail at info@qcsi.com. For more information, visit our Web site at www.qcsi.com.

QNXT, QMACS, QCSI, AutoQ, LEAP3 and MyHealthBank are trademarks or registered trademarks of QCSI. U.S. Patent No. 6,879,959. Other marks referenced herein are the service marks, trademarks or registered trademarks of their respective holders.

Source: Business Wire

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