THE RX INTERCEPTOR PROGRAM. LARGE SAVINGS ON YOUR DRUG SPEND.
HEALTH PLANS ARE SAVING MILLIONS BY USING THE INTERCEPTOR PROGRAM.
RX INTERCEPTOR PROGRAM OVERVIEW
THE RX INTERCEPTOR PRGRAM, WITH STOP-LOSS, IS A PROPRIETARY PROGRAM FOCUSED ON ALLEVIATING HIGH COST OF SPECIALTY DRUGS.
THIS IS A NON-INSURANCE PROGRAM THAT PROVIDES SIGNIFICANT SAVINGS FOR ORGANIZATIONS UTILIZING SELF-FUNDED AND LEVEL-FUNDED HELTH PLANS.
THE PROGRAM PRODUCES UP TO 50% OF SAVINGS ON SPECIALTY DRUG SPEND FOR ORGANIZATIONS.
THE PROGRAM HAS A POSITIVE IMPACT ON COMPANY’S BALANCE SHEET AND P&L INCOME STATEMENT.
HOW DOES IT WORK?
THE RX INTERCEPTOR PROGRAM IS MADE POSSIBLE THROUGHT THE CREATION OF A CONSORTIUM OF HEALTHCARE INDUSTRY COMPANIES WITH SPECIALTIES IN PLAN DESIGN, PLAN IMPLEMENTATION, PHARMACY AND CRITICAL CARE MANAGEMENT.
THE PROGRAM CAN EITHER REPLACE THE CURRENT RX PROGRAM AND RETURN UP TO 100% OF THE REBATES OR CARVE OUT THE HIGH-COST SPECIALTY DRUGS ABOVE A CERTAIN COST THRESHOLD.
THE PROGRAM UTILIZES A CHRONIC CARE MANAGEMENT (CCM) AND MEDICATION THERAPY MANAGEMENT (MTM), WHICH PROVIDE ADDITIONAL MEDICAL INSIGHTAND PATIENT CARE ON AN ONGOING BASIS.
PATIENTS/EMPLOYEES WILL RECEIVE THEIR SPECIALTY DRUG MEDICATIONS BY MAIL-ORDER DELIVERY DIRECTLY FROM THE MANUFACTURER.
THE PROGRAM PROPRIETORY TECHNIQUES FOR SAVINGS ARE UTILIZED TO REALIZE THE TARGETED 50% SAVINGS THRESHOLD.
WE ADVOCATE THAT EMPLOYERS ELIMINATE PATIENT/EMPLOYEE ADDITIONAL RX CO-PAYS AS AN ADDITIONAL BENEFIT.
HOW DO WE GET STARTED?
WE BEGIN WITH AN ANALYSIS OF 1-2 YEARS OF PREVIOUS DRUG SPEND. WE THEN RETURN TO REVIEW CUSTOMIZED PRO FORMA ILLUSTRATING THE (MONTHLY & ANNUAL) SAINGS OPPORTUNITY.
(SPECIALTY DRUGS CAN ACCOUNT FOR AS MUCH AS 80% OF TOTAL DRUG SPEND).
WE WORK WITH THE BENEFITS/HR DEPARTMENT TO IMPLEMENT THE RX INTERCEPTOR PROGRAM AND HOW TO BEST COMMUNICATE DIRECTLY WITH EMPLOYEES/FAMILY MEMBERS.
THE RX INTERCEPTOR PROGRAM SOFTWARE WILL AUTOMATICALLY “INTERCEPT” HIGH-COST SPECIALTY DRUG RX ORDERS AND DIRECT THEM APPROPRIATELY FOR FULLFILMENT.