Durable Medical Equipment (DME) Formulary

Broadspire’s Durable Medical Equipment (DME) formulary uses technology and clinical protocols to revolutionize the DME process. By applying the cost management principles of a pharmacy formulary to DME, we meet the medical needs of your injured employees as well as your company’s financial needs. Broadspire’s DME formulary program helps create:

• A measurable reduction in total costs for DME and supplies
• Increased consistency in order processing
• A medically-based model that ensures employees receive appropriate care

Low Sensitivity—Automated Conversions—The costs of bandages, ambulatory aids, and other supplies vary widely. Common or low-cost items convert automatically from non-formulary to formulary items.

High Sensitivity—Utilization Management—High cost items and specific orders such as bone growth stimulators and TENS units are flagged for a specialized clinical review using Broadspire’s URAC certified utilization process.

Our dual approach helps you:

• Manage spending in your company’s top DME categories
• Avoid high-priced or unnecessary items
• Automatically locate the most economic equivalent equipment
• Lessen leakage through a thorough oversight process
• Ensure your employee receives the appropriate care

View this Video Presentation to see how the DME Formulary can reduce your claim costs.

For further information about the DME Formulary contact us.