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

2. 5th Employer Survey on Specialty Drugs Level of understanding for the following
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3. 5th Employer Survey on Specialty Drugs Level of agreement for the following
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4. 5th Employer Survey on Specialty Drugs Level of agreement for the following, cont.
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5. 5th Employer Survey on Specialty Drugs Plan design strategies currently offered
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6. 5th Employer Survey on Specialty Drugs Future plan design strategies
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7. 5th Employer Survey on Specialty Drugs Access to integrated medical and pharmacy data
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8. 5th Employer Survey on Specialty Drugs Level of action provided for integrated data reports
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9. 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
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10. 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
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11. 5th Employer Survey on Specialty Drugs Plan design elements used to drive people to lower cost sites of care
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12. 5th Employer Survey on Specialty Drugs Increase in out-of-pocket cost share to covered population for specialty drugs
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13. 5th Employer Survey on Specialty Drugs Level of awareness and action for the following
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14. 5th Employer Survey on Specialty Drugs Tracking specialty drug utilization
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15. 5th Employer Survey on Specialty Drugs PBM performance
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16. 5th Employer Survey on Specialty Drugs Impact of cost-sharing approaches
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17. 5th Employer Survey on Specialty Drugs Future scenarios for PBMs
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18. Contacts
Cheryl Larson, Vice President Midwest Business Group on Health F. Randy Vogenberg, PhD, Principal Institute for Integrated Healthcare MBGH National Employer Initiative on Specialty Drugs
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