Population Health Management - Integration of Medical and Pharmacy Benefits
By Claire Thayer, January 22, 2015
A new Blue Cross Blue Shield Association (BCBSA) and Prime Therapeutics LLC (Prime) study examined yearly medical costs of 1.8 million members of Blue Cross® and Blue Shield® (BCBS) independent companies, whose pharmacy benefit services were divided between “carve-in” and “carve-out” benefit options. This study finds that members integrating the pharmacy benefits experienced:
- 9% fewer hospitalizations
- 4% fewer emergency room visits
- 11% lower medical costs
HealthPartners, in their Pharmacy Integration Study, estimated that integrating medical and pharmacy benefits can save a group with 9,000 continuously enrolled members more than $1 million per year. These and other data points are featured in MCOL’s infoGraphoid this week:
MCOL’s weekly infoGraphoid is a benefit for MCOL Basic members and released each Wednesday as part of the MCOL Daily Factoid e-newsletter distribution service – find out more here.
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