PMID: 29782734Jan 1, 2017Paper

Pharmacy Benefit Integration: A Connected Approach to Total Medical Cost Savings

Benefits Quarterly
Michelle Vancura

Abstract

Pharmacy and medical benefit integration's most meaningful value lies in obtaining a comprehensive understanding of someone's health journey. An effective way to control health care costs for all stakeholders and improve overall wellness is to understand and manage health conditions in their entirety, not just the prescriptions. This article highlights (1) how pharmacy and medical benefit integration provides a more holistic view of health, (2) how individuals inquiring about their pharmacy benefits can be successfully engaged to participate in health coaching and other programs available through their medical benefits, (3) how integrated data pro-vides real-world insights for evaluating the value that drugs and health management programs deliver and (4) what plan sponsors might attain in cost savings through the use of integrated benefits.

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