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Cost Containment

Why Carve-Outs Happen And How To Prevent Them

Cost Containment, News, Pharmacy Benefit Management /

See this article by AlignRx CEO Kevin Kobielski as it originally ran in Healthcare Business Today.  Carve-outs can be a thorn in the side of health plans. But with a little creative thinking in key areas, insurers can solve the problems that cause employer groups to rely on carve-outs.  For employers, the appeal of carve-outs […]

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How Specialty Drug ‘Solution Stacking’ Can Rein in Pharmacy Benefit Costs

Clinical Insights, Cost Containment, Pharmacy Benefit Management /

Brokers and employer groups alike know that 5% to 10% percent of insured workers and their dependents drive 50% to 60% of the cost of pharmacy claims. A few members with prescriptions for a specialty drug with a five-figure price tag can easily represent the majority of an entire group’s pharmacy spend. These drugs are

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