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medimpact

How can we manage the rising cost of specialty medications?

Although only 1% of pharmacy claims for commercial plans are for specialty drugs, they account for 44% of all prescription benefits spending. It will take bold new thinking to manage this trend.

THE PROBLEM

Specialty medications are used to treat the most severe and complex conditions, such as cancer, multiple sclerosis, and hepatitis. These drugs are far and away the most expensive of all. In fact, by 2023, the median list price for oncology and orphan drugs could exceed $200,000 per year. For this reason, for every payer serving any population, managing spending on specialty drugs must be a top priority.

  • 9 %

    Plan sponsors realize up to 9% using MedImpact Direct Specialty

  • $ 500 billion

    Projected spending in US on specialty medications by 2023

  • 44 %

    Percentage of total spending on specialty for commercial plans

M
Specialty medications.

Specialty medications are improving and saving lives, yet skyrocketing costs can be hard for plan sponsors to manage. By integrating advanced clinical services, data analytics, high touch member engagement and a tightly managed network of specialty pharmacies, we have enabled clients to reduce specialty spend by, in some cases, as much as 9%.

Specialty management.

As specialty drug spending increases, MedImpact is delivering innovative strategies to help manage costs and improve member health.

Specialty network.

We work with five preferred specialty pharmacy vendors that meet the highest levels of clinical standards and member service.

Home delivery.

We work with mail-order pharmacies to help our plan sponsors select their vendors of choice and manage maintenance medications effectively.

Clinical outcomes.

We provide clinical expertise, national strategy, local customization, and personalized member engagement programs to help improve population health.

Analytics.

MedImpact’s Quality Performance Management Program (QPMP) delivers information from the population to the member level about adherence, treatment gaps and safety issues to help improve outcomes, CMS Star Ratings, and drug and medical spend.
HERE FOR YOU

Proven results.

Every client has unique priorities and needs. That's why we are the PBM that offers highly customized benefit designs, formularies, clinical programs and analytics. No one-size-fits-all here. See what we mean:
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Ready for clarity from your PBM?