Fallon Health Launches Prescription Savings Program for Medicare Advantage Members

Becomes First Health Plan in Massachusetts to Offer Rx Savings Solutions to Medicare Beneficiaries

Worcester, Mass., January 7, 2021— Fallon Health today announced a new, easy-to-use transparency tool designed to help members save money on prescription medications. Beginning January 1, 2021, eligible members of Fallon Medicare Plus Medicare Advantage plans will have access to Rx Savings Solutions, a free, optional tool which will allow them to quickly and easily see the lowest-price options for their prescriptions.

A nationally recognized not-for-profit health care services organization, Fallon Health will become the only health plan in Massachusetts to offer Rx Savings Solutions to the Medicare population. On average, members who switch to lower-cost options save $40 out-of-pocket per fill.

“The rising cost of prescription drugs can have a serious impact on the personal finances of our Medicare Advantage members. And navigating the complex pharmacy system can be challenging,” said Carolyn Langer, M.D., Chief Medical Officer for Fallon Health. “Collaborating with Rx Savings Solutions provides greater transparency that makes it much easier for our Medicare Advantage members to find more affordable medications that are clinically effective.”

With the program, members can:

  • See prescription suggestions and lower-cost options available to them
  • Access certified pharmacy technicians for personal and confidential help over the phone or by email
  • Receive notifications via email, text or mail when new savings opportunities are available
  • Request that a member of the Rx Savings Solutions team work directly with the prescribing physician to ensure the efficacy and appropriateness of the alternate drug, and to facilitate a new prescription

Rx Savings Solutions uses patented algorithms to look for all possible clinical therapies and financial savings opportunities. Rx Savings Solutions is HIPAA-compliant, and all interactions between the software platform and member is confidential.

“We are excited to partner with Fallon Health to arm members with this vital information,” said Michael Rea, a clinical pharmacist who founded and currently leads Rx Savings Solutions. “At Rx Savings Solutions, we take great pride in helping people optimize their spending and are delighted to work with Fallon on our mutual mission of increased transparency in health care.”

Eligible members will be auto-enrolled in the program, but will have to activate their account to receive notifications. That can be accomplished by visiting myfallon.org/rxss and following the directions on screen. Members can also call 1-800-325-5669 (TRS 711), Monday-Friday, 8 a.m.–8 p.m. (Oct. 1–March 31, 8 a.m.–8 p.m., seven days a week).

Melissa Randall
Corporate Communications Manager, Fallon Health

About Fallon Health
Founded in 1977, Fallon Health is a leading health care services organization that supports the diverse and changing needs of those we serve. In addition to offering innovative health insurance solutions and a variety of Medicaid and Medicare products, we excel in creating unique health care programs and services that provide coordinated, integrated care for seniors and individuals with complex health needs. Fallon has consistently ranked among the nation’s top health plans and is accredited by the National Committee for Quality Assurance for its HMO, Medicare Advantage and Medicaid products.

About Rx Savings Solutions
Rx Savings Solutions offers an innovative, patented engagement software system empowering employers and employees to be educated consumers of health care. In addition to large, Fortune 500 Employers, Rx Savings Solutions also services health plan clients. Founded and operated by a team of pharmacists and software engineers, Rx Savings Solutions supports a collaborative, cost-saving solution for purchasing prescription drugs. For more information, visit rxsavingssolutions.com or follow them on LinkedIn and Twitter.