MRx Navigate

An integrated solution, guiding members through their healthcare journey.

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At Magellan Rx Management, we are at the forefront of driving innovative clinical programs that improve health outcomes and reduce costs. With MRx Navigate, we focus on the simplifying the member healthcare journey, leading them to a healthier, more vibrant life. By fully integrating the many touchpoints of a member’s health and wellness, our team of clinical professionals work closely together to understand the members health care needs and assist them to better manage their condition through education, empowerment and specialized support. Our team of experienced pharmacists, nurses, behavioral health professionals and health coaches work collaboratively to provide seamless continuity of care and healthcare population management, delivering quality health outcomes and value-based savings.

Integrated Programs

Navigate Wellness

Engages members to improve their health and reduce risks

  • Health Risk Assessment
  • Newsletters and Blog
  • On-demand Health Information
  • Wellness Challenges
  • Biometric Screenings
  • Flu Shot Clinic

Navigate PopHealth

Supports members with non-complex chronic diseases

  • Gaps in Care
  • Non-Adherence
  • Chronic Diseases
  • Medication Assesment
  • Educational Resources and Tools

Navigate UM

Ensures appropriate medical services and reduces unnecessary care

  • Medical and Behavioral Health
  • Utilization Review Guidelines
  • Precertification Review
  • Concurrent Review
  • Restrospective Review
  • Fraud, Waste and Abuse
  • Appeals

Navigate Change

Guides members with acute or ongoing complex conditions

  • Transition of Care
  • Medication Reconciliation
  • Complex Care Management
  • Site of Care Optimization
  • Individualized Care
  • Social Determinants of Health
  • Provider Interventions