Pharmacy

It’s no secret that specialty drug costs are skyrocketing, driving up your already high pharmacy benefit costs within your health benefit plans.

According to the JP Morgan Chase Pharmacy Benefits survey, 76% of 51 respondents said specialty drugs are the biggest concern around the pharmacy benefit over the next five years.

According to a November 2, 2017 press release by Mercer, the average total health benefit cost per employee rose 2.6% in 2017 versus 2.4% in 2016. This data was obtained from the 2017 Mercer National Survey of Employer-Sponsored Health Plans, which is the nation’s largest survey of its kind. One of two key initiatives that employers are addressing is the continued double-digit growth in spending on specialty drugs.

What We Can Do

Harness Health Partners Pharmacy developed a unique capability to blend the ability to assess an employer’s pharmacy benefit plan usage and streamline the ambulatory formulary. We work with employers to control their pharmacy cost through an action plan implemented in alignment with our clients. Dependent upon the business’ needs and interests, an employer might be interested in a retail pharmacy, home delivery of pharmacy services or specialty pharmacy services. We also offer pharmacy claims analysis.

Our programs can:

  • Find savings by identifying what drugs are being used the most and suggesting a better option
  • Replace high-cost specialty drugs with more sensible options
  • Get higher rebates and copay assistance
  • Lower costs for both for over-the-counter and pharmacy medicine through our retail pharmacy
  • Create convenience for your employees by pairing a retail pharmacy with an on-site clinic
  • Help your employees save time, money and hassle by using mail order, desktop or home delivery services
  • Offer a dedicated on-call pharmacist

Our evidence-based pharmacy programs work. Why are we so confident? Because these programs are tried and true – we piloted each and every one of them on our own workforce. As a health care system that’s connected to a clinical network of care, we have the expertise to deliver solutions tailored and scaled to your specific needs while being sensitive to employee benefit plan disruption.

Our pharmacy programs can help you:

  • Improve employee health and performance
  • Lower your total pharmacy costs
  • Reduce pharmacy costs for your employees
  • Save time and hassle for getting medications
  • Boost employee morale and loyalty
  • Enhance their benefit packages to help attract the best talent

Bottom Line

As one of the largest health systems in the Midwest, Mercy Health faced escalating specialty spend across both their pharmacy and medical benefits. Our pharmacy solutions generated significant cost-savings toward specialty spend, reducing both plan and member costs:

  • Reducing costs across multiple disease states, including autoimmune (4.35%), hepatitis C (19.4%), multiple sclerosis (9.3%) and oncology (8.7%). The programs also had considerable results for members — reducing their out-of-pocket costs by more than 97%.
  • Pharmacy Benefit Management: Our unique approach to pharmacy benefit management optimized plan design, saved Mercy Health $10.5 million.
  • The Copay Accumulator Program provides near real-time tracking of each member’s true out-of-pocket expenses and applies manufacturer coupons for more than 300 specialty drugs to reduce both plan and member costs.

Contact us for a free consultation to see how we can improve the well-being of your workforce.