The healthcare marketplace has changed dramatically in recent years. Continual regulatory changes, new therapies and skyrocketing drug costs can make it difficult to navigate and ensure the best decisions are being made for your clients, employees or members. However, with nearly half of all Americans having at least one chronic disease that requires prescription medication, it is more important than ever to manage health plans effectively to achieve optimal outcomes for both members and the plan.
The advances we’re seeing in healthcare today are staggering. With specialty medications, we can actually cure diseases that were once incurable, such as Hepatitis C. However that comes with a hefty price tag and a myriad of other concerns. Specialty medications can cost upwards of $100,000 a year and as these treatments are complex in nature, there are many other considerations, particularly with adherence, which can be even more difficult to achieve with unique treatments.
These medical advances are showing no signs of slowing down, with 64% of the new drugs being developed today comprised of costly specialty medications. While these new medications could revolutionize healthcare, health plans need ask is this really the best treatment for my members? Are there other equally effective, lower cost alternatives available? What other concerns might this treatment bring? What if a patient is not adherent to their medication, how do I handle that? With the continually evolving medical landscape, the questions for a health plan are never ending.
At EnvisionRx, we believe sharing information helps us all better understand the issues that affect the cost of healthcare and the treatment of the members we serve, ultimately leading to better insight and decision-making for healthier outcomes. As a fully integrated, URAC-accredited Pharmacy Benefit Manager (PBM) that encompasses all aspects of pharmacy care—from mail order, compounding and specialty pharmacies to our own adjudication software—we have our finger on the pulse of the industry and a unique perspective of trends that may be of interest to you, your clients and members.
With our extensive experience and expertise in pharmacy care, EnvisionRx created a dynamic resource to share our knowledge online, providing regular information and updates on new therapies and current healthcare issues that can help you improve costs and member outcomes. We hope you find this online resource to be informative and useful.
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