5th Employer Survey on Specialty Drugs Level of understanding for the following

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Presentation transcript:

MBGH Employer Benchmarking Survey National Employer Survey on Specialty Drug Management 2016

5th Employer Survey on Specialty Drugs Level of understanding for the following Copyright © 2016 MBGH

5th Employer Survey on Specialty Drugs Level of agreement for the following Copyright © 2016 MBGH

5th Employer Survey on Specialty Drugs Level of agreement for the following, cont. Copyright © 2016 MBGH

5th Employer Survey on Specialty Drugs Plan design strategies currently offered Copyright © 2016 MBGH

5th Employer Survey on Specialty Drugs Future plan design strategies Copyright © 2016 MBGH

5th Employer Survey on Specialty Drugs Access to integrated medical and pharmacy data Copyright © 2016 MBGH

5th Employer Survey on Specialty Drugs Level of action provided for integrated data reports Copyright © 2016 MBGH

5th Employer Survey on Specialty Drugs Most Effective Cost Management Strategies Required use of a specialty pharmacy Prior authorization for pharmacy claims approval Patient support and case management Step therapy edits for claims approval Prior authorization for medical claims approval 9 Copyright © 2016 MBGH

5th Employer Survey on Specialty Drugs Most Effective Patient Outcome Strategies Patient support and case management Required use of a specialty pharmacy Prior authorization for pharmacy claims approval Step therapy edits for claims approval Tie…… Specialty distribution requirements (i.e. closed system delivery) Coordinated info on disease therapies 10 Copyright © 2016 MBGH

5th Employer Survey on Specialty Drugs Plan design elements used to drive people to lower cost sites of care Copyright © 2016 MBGH

5th Employer Survey on Specialty Drugs Increase in out-of-pocket cost share to covered population for specialty drugs Copyright © 2016 MBGH

5th Employer Survey on Specialty Drugs Level of awareness and action for the following Copyright © 2016 MBGH

5th Employer Survey on Specialty Drugs Tracking specialty drug utilization Copyright © 2016 MBGH

5th Employer Survey on Specialty Drugs PBM performance Copyright © 2016 MBGH

5th Employer Survey on Specialty Drugs Impact of cost-sharing approaches Copyright © 2016 MBGH

5th Employer Survey on Specialty Drugs Future scenarios for PBMs Copyright © 2016 MBGH

Contacts Cheryl Larson, Vice President Midwest Business Group on Health clarson@mbgh.org www.mbgh.org F. Randy Vogenberg, PhD, Principal Institute for Integrated Healthcare randy@iih-online.com MBGH National Employer Initiative on Specialty Drugs www.specialtyrxtoolkit.org Copyright © 2017 MBGH/IIH