A Problem: Many Prescriptions Go Unfilled
- 30% of all new prescriptions are never filled1
- 65% of prescriptions are not taken to duration2
- Impact of non-adherence:
- Top driver of hospital re-admissions (poor outcomes)
- Lower HCAHP scores (reimbursement)
- Diminished pharmacy revenue
- And more…
One Solution: Manufacturer Discounts
- Copay reductions & free trials
- First-fills and/or re-fills
- Common and legal
- Covers many brands
- Downstream from prescribing
For generics, we can supply cash pay offers, instead of co-pay discounts.
Manufacturer Discounts Work When Used
more scripts were filled by patients using copay coupons than those without.1
These discounts complement “Meds to Beds” and other patient assistance programs or processes you may have.
Reducing Rx Costs:
DTC Discounts Are a Good Start
- Many patients don’t know about them.
- Many patients can’t or won’t access them.
- Requires time and energy
- Requires internet access and savvy
- Requires understanding of Rx details (dosing, etc.)
- Requires understanding of qualification (insurance, etc.)
- Possible reading level or language barriers
Instead, hospital & pharmacy staff routinely spend time finding online discounts for patients. Not efficient or scalable.
We Have a Better Solution, At Point of Care
Patients are prescribed medication at any of your points of care.
Our software listens for prescriptions & matches them to discount databases.
We add discounts to after-visit summaries for all qualified patients.
More patients can afford to fill and follow their prescriptions.
Primary Benefits to Healthcare Systems
- Increased adherence (total fills) = Reduced re-admission/penalties
- Lower uninsured patient co-pays = Less risk exposure for bad debt
- Increased patient satisfaction = Better care quality metrics/reimbursement
- Increased first-fills on-site = More pharmacy revenue
- Decreased staff time per patient = Less costs
Secondary Benefits to Healthcare Systems
- Lower uninsured patient co-pays = Less charity care
- Lower cost of care = Less cost of self-insuring employees
- Improved compliance = Reduce free trials in clinical workflow
- Improved standardization = Every patient has the same opportunity
No ongoing costs. Pharma sponsors the discounts.
Works at all points of care (ambulatory, ED, etc.)
Minimal EMR Integration
- Solution built on popular middleware to minimize the integration effort with most EMRs
- Only a few hours of total IT time is required.
- Connectivity is based on industry standard protocols commonly deployed in health care IT
Leverages providers’ significant investment in EMRs.
Path to Success
First demo is with Pharmacy leadership. Follow-up demo is with other key stakeholders.
BAA is signed. We negotiate a Master Agreement. We complete IT audit.
Kick-off call with IT establishes stakeholders, responsibilities, and weekly call schedule.
10-20 hrs over 4 weeks
We provide materials and ongoing reports to identified stakeholders.
Schedule call with key stakeholders
- IT / EHR Director who can provisions IT resources
- Internal / Retail Pharmacy Leadership
- Nursing / Case Management
Begin contracting paperwork
- Master Agreement
- IT Security Questionnaire
2. Eaddy MT, Cook CL, O’Day K, Burch SP, et al. How Patient Cost Sharing Affects Adherence and Outcomes/p50/colB/¶5. From https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3278192. Accessed 10/09/14. Expected impact estimated from linear regression model based on studies in review. Impact varies depending on population and intervention affected. In the literature review, 66 abstracts assessed the impact of patient cost sharing and medication adherence. Treatment or disease areas in study included cardiovascular, diabetes, mental health, pulmonary, arthritis, infectious disease and GI disease.