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Program addresses cost and quality in a way that benefits patients and payers
Drugs that require provider administration, such as infusions, can be administered at different sites of service, including hospitals, physician offices and through home infusions. The cost of these medications can vary greatly depending on the site. Commonly utilized infused drugs can cost more than double at one site compared to another for commercial members.
"Patients and payers are concerned about the cost of infusion drugs,"
Magellan Rx Management's site of service program is overseen by a collaborative care team of healthcare professionals, including nurses, pharmacists and physicians. The Magellan Rx referral center nurse contacts the patient on infusion drug therapy to discuss the various options and the benefits each site has to offer. Payer and member savings are generated when the patient chooses a more cost-efficient location. Member affordability and convenience are the most common considerations for selecting an infusion provider.
"We have a responsibility to control costs while improving the patient's
access to care," said Dr.
The alarming variance in cost by site of service was highlighted in Magellan
Rx Management's Medical Pharmacy Trend Report. For example, the
report found that the rheumatoid arthritis drug, infliximab (Remicade®),
"Savings through site of service management has been little more than an industry concept over the past few years, but we are turning that concept into valuable, quantifiable results," said Wiatrowski. "Our extensive experience in managing specialty drug costs under the medical benefit puts us in a unique position as a market leader in this space. We are excited to expand upon our initial success by working with additional health plans on this initiative."
Magellan will discuss the Medical Pharmacy Trend Report and results of
the site of service program at the upcoming
About Magellan Rx Management: Magellan Rx Management is a full-service PBM that specializes in solving complex pharmacy challenges for its customers by developing and executing smart solutions that leverage industry-leading experience and technology to exceed expectations across the employer, third-party administrator, broker, managed care, government, Medicaid and Medicare Part D lines of business. As a pioneer in medical specialty pharmacy management and a leader in best-in-class formulary optimization programs, Magellan Rx Management delivers consistent, proven cost savings. As clinical experts, Magellan Rx Management delivers customized programs to address clients' most pressing clinical challenges, drive Star Ratings improvements and engage patients and providers to deliver improved health outcomes.
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