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Alternate Funding

Cost Containment: Unique funding opportunities
Identify alternative private and public funding to cover specialty costs.
Traditional Funding
Alternate Funding
  • No plan changes

  • $0 participant copay

  • High case approval rates

  • Lower specialty spend

  • Reduced total plan spend

  • Rising specialty costs

  • High copays

  • Disproportionate specialty spend

How Does Alternate Funding Work?

1

Prior Authorization

2

Participant Enrollment

3

Direct Shipment

Alternate Funding

Provide high-level specialty benefits while reducing plan and participant spend.

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