A new paradigm for patient supportive care
Total Cost of Care management for the highest-cost and risk patients.
Made possible by pharmacist-led virtual and in-person interventions.
Made possible by pharmacist-led virtual and in-person interventions.
Total Cost of Care
The new paradigm for managing costs and outcomes for patients on specialty drugs.
Status Quo
Rigid enforcement
One size fits all
One size fits all
MedAppropriate
Patient supportive care
Mass customization
Mass customization
Pharmacy or medical claims only | Combined pharmacy & medical claims |
Unit drug cost management | Total Cost of Care management |
Prior authorization | Data analysis, actionable information, and clinical insights about select patient populations |
Discounts and rebates | Help prescribing physicians improve outcomes |
Patient compliance initiatives | Focused patient-centric interventions. Improved results with patient and physician engagement. |
What we do different
The right levers. The right activities.
The results you need.
Only possible with our proprietary high-tech plus high-touch approach.
Key Levers
for costs and outcomes
Targeted Activities
Apply pressure on the levers
Unparalleled Results
Naturally follow
Benefit design | Only cover drugs with lowest total cost of care | Reduces total cost of care |
Pharmacy and physician reimbursement | Obtain drug cost discounts, limit administration/dispensing fees and choose appropropriate care sites | Reduces drug costs |
Physician utilization | Use “smart prior authorization” to improve physician prescribing and drug use | Improves patient convenience and outcomes |
Patient payment responsibility | Use fixed dollar copayments to improve access and patient compliance | Improves access and outcomes |
Pharmaceutical purchasing | Implement value based contracting tied to outcomes | Reduces costs and improves outcomes |
Without the Total Cost of Care lens, you’re not seeing the full picture.
Let us help you effectively & efficiently manage Total Cost of Care.