How Unbundling Pharmacy Program Set Fort Collins Up for Bigger Benefit Wins – HR Daily Advisor

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Pages in category "Pharmacy benefit management companies based in the United States" The following 19 pages are in this category, out of 19 total. This list may not reflect recent changes ( learn more ).

Members have the opportunity to get these drugs for a $50 copayment through a Specialty Rx Pharmacy Program at Diplomat Specialty Pharmacy (go to the Navitus Member Portal). Level 4 Preferred drugs that are obtained from any other pharmacy are subject to 40% coinsurance with a $200 maximum.

The Future of Fort Collins That was an issue that the city of Fort Collins had not yet grappled with by 2016, though it had the flexibility, with a self-funded program, to go either way. By choosing "unbundled" for its pharmacy benefits, the city saved a bundle-more than $1 million a year in costs.

In many cases, active employee pharmacy benefits are accessed through an employer’s contracted health plan. Unbundling or "carving out" the pharmacy benefits presents substantial savings opportunities for plan sponsors.

Fort Collins is the largest city in northern Colorado and home to 150,000 within the city boundaries and another 300,000 in the surrounding region. Its employee benefits program has 1,900 benefit-eligible and 4,000 total plan members, including those covered through intergovernmental agreements.

Choice Plan Members and the Pharmacy Benefit Choice Health plan members (HDHP) and pharmacy benefits can differ from Select plan members. Federal guidelines (i.e. health care reform), dictate what our plan can and cannot provide as a benefit for high deductible health plans. We want to ensure everyone has an

Specialty Pharmacy: Lowering Total Healthcare Costs . Average savings (10,000 life group). Typical savings for combined $343,000 medical and pharmacy costs across 12 specialty conditions. 1. Specialty program outcomes based on UHC commercial membership 2007 to 2010. Network contract savings based on 2011 commercial FI membership.

That was an issue that the city of Fort Collins had not yet grappled with by 2016, though it had the flexibility, with a self-funded program, to go either way. By choosing "unbundled" for its pharmacy benefits, the city saved a bundle-more than $1 million a year in costs.

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