The workers comp drug management landscape is getting even more complicated, with new entities and renamed ones entering the space seemingly every day. One of the latest to hit the radar is Innoviant, a subsidiary of Fiserv.
Remember Fiserv owns Third Party Solutions as well as DirectCompRx, a third party biller and PBM respectively.
It appears that an Innoviant unit that specializes in marketing to injured workers and their attorneys, telling them that Innoviant will eliminate out of pocket costs and hassles, delivering drugs quickly via mail order etc. Sources on the payer side indicate that Innoviant then bills at rates above what is usually deemed appropriate, claiming that their requested reimbursement levels are reasonable.
Moreover, one payer in Florida has seen a recent and rather large influx of bills from the Innoviant mail order folks; this payer is concerned that TPS bills are finding themselves inserted into the “mail order” category, thereby circumventing existing processes for capturing these scripts and redirecting to network pharmacies.
Innoviant also goes so far as to recommend attorneys to those injured workers who are in need of a little legal assistance. One wonders if there is a quid pro quo here…
So, Fiserv owns a third party biller, PBM, and home delivery company (marketed to physicians and attorneys); it does appear that they are seeking to serve all masters, even competing ones.
Apr
19
Fiserv recently completed the aquisition of P2P Link from The Hartford and CS Stars. P2P Link is a work comp medical bill clearinghouse.