Alternate Funding
Cost Containment: Unique funding opportunities
Identify alternative private and public funding to cover specialty costs.
Traditional Funding
Alternate Funding
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No plan changes
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$0 participant copay
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High case approval rates
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Lower specialty spend
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Reduced total plan spend
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Rising specialty costs
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High copays
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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.