Wednesday, August 21, 2019

How an Stand-alone PBM Uses Patient Engagement to Improve Cost and Patient Outcomes

As the PBM landscape consolidates around a few monolithic players, it’s become increasingly difficult for independent challengers to carve out space for themselves in a dominantly payer-owned field. Even one of the largest independent pharmacy benefit managers (PBMs) in the United States found they could not compete on cost.

Luckily, some independent PBMs are doing things a little differently. We are incorporating better patient care into our business strategies in pursuit of a vision for lower healthcare costs and greater transparency across the medical and pharmacy benefits.

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At the heart of the vision is a unique program launched with a small network of best-in-class specialty pharmacies, chosen because they offer patient-support services that improve logistics, promote access and adherence, and reduce costly healthcare episodes. And it works. 

These partnerships have upheld the belief that more empowered, knowledgeable, and cared-for patients have better outcomes and use the healthcare system more efficiently. This is how independent PBMs are carving out a true niche as the partner who cares about patients and lowers healthcare costs universally.

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