Addressing the problem requires a multi-faceted, strategic approach.
First, evaluate all potential solutions within your existing health plan. With guidance from your benefits advisor you may be able to adjust benefit design or improve enrollment in pharmaceutical manufacturer’s assistance, copay cards, or other programs, to get discounts or complete cost coverage from the drug manufacturer.
Innovator companies that carve-out high cost claims is another option. These new companies step in if the existing PBM or health plan cannot offer a solution, but rely on a claim denial, coverage exclusion, or importation company to initiate service.
There are many cost saving options and compliance issues to consider when taking control of this growing health benefits expense.
Talk to your HUB pharmacy and compliance specialists to learn how you can offer a compassionate, cost effective, and compliant pharmacy benefit plan that supports the health and wellness of your employees. You can also learn more about healthcare cost management with HUB!
