We understand that employers want to offer their employees the best possible health care but need to keep costs in check. In 2020 Univera Healthcare launched a pharmacy benefits management program called Pharmacy Concierge. We first offered Pharmacy Concierge to our self-funded groups, and the program was so successful in cutting costs, we expanded it as a standard benefit for fully insured experience-rated groups.
In one instance, a clinical review identified a member taking multiple, costly single-agent oral diabetes medications. Our clinician recognized this as an opportunity to simplify the regimen for the patient and save money. We reached out to the provider to suggest changing the member to a combination product. After reviewing our information and the patient’s record, the provider agreed. The member now takes one tablet, simplifying their routine. And, with only a single copay, the member saves $120 per year; the group saves $79,760 per year. Last year, self-funded employer groups in Pharmacy Concierge experienced a 4.7% trend, compared with 12.5% for those groups not enrolled. The savings are guaranteed.
Contact your account manager for more information.