Today's healthcare trends support self-injectable administration as treatment of choice for chronic disease states. Because of this, HealthComp's Utilization Management Department has identified a great need for a pharmaceutical provider, which would not only provide specialty medications at a discount but would facilitate the billing process. This prevents the patient from paying out-of-pocket expenses and eliminates the need to submit a reimbursement claim for costly injectable medications.
How the program works
The Specialty Injectables Program is a pharmacy program providing medication distribution and support for patients who receive high-cost specialty injectable treatments for chronic disease states. This Program, which focuses exclusively on reducing the costs associated with specialty treatments, positively impacts the treatment process in three key areas:
The patient receives expert service that a typical pharmacy cannot provide, including the scheduling and delivery of specialty medications, along with training/education to assist in successful administration.
For the physician, the burden of dispensing medications to patients is eliminated, which helps in the reduction of both physician-inventory costs and the handling of billing/reimbursement. For those physicians who continue to dispense medications, direct sale at contracted rates are available.
The payor maximizes cost savings of specialty treatments through discounted pricing on drugs, increased clinical control of prescribing patterns and improved patient health. HealthComp typically receives a 17-21% discount off the average wholesale price (AWP). All necessary supplies are sent with every shipment.
With expertise in several chronic disease states, the dispensing pharmacies provide distribution of all medications and ancillary supplies, in addition to custom patient support for each condition listed below. These pharmacies maintain a complete inventory of specialty medications, including office-administered and self-injectable products.
- Gaucher's Disease
- Hepatitis C
- Rheumatoid arthritis
- Multiple sclerosis (MS)
- Organ transplant
- Growth Hormone Deficiency
- Crohn’s Disease
HealthComp works to identify your specialty patient population in an effort to create a seamless transition to the Specialty Injectables Program. Beginning with patient enrollment through delivery of medication, the patient receives end-to-end pharmacy services.