BCBSAL Integration - Prime Therapeutics
The best care is integrated care
People feel and live better when care and medicine work together. Integrated drug management helps lower your total cost of care while boosting employee satisfaction.
Integrated pharmacy benefits drive more savings
A recent analysis shows an average savings of $402 per member per year on medical costs and 8% lower odds of hospitalization. What’s more, when looking at subset of this population — employees using specialty meds to manage chronic conditions — the study showed even greater savings.1
Integrated benefits were associated with 8% lower medical costs, an average savings of $402 per member per year.
Employees experienced 8% lower rates of hospitalization with integrated benefits.
Integrated benefits for employees using specialty drugs for chronic conditions were associated with 18% lower medical costs, an average savings of $3,448 per member per year.
Employees using specialty drugs for chronic conditions experienced 9% lower rates of hospitalization with integrated benefits.
One best-in-class solution
Integrating pharmacy with medical benefits provides care managers and clinicians a full picture of employees’ health, resulting in more targeted interventions, a single, uniform picture of the employee’s health status, and the potential to improve medication adherence and overall health outcomes. In addition, value-based care agreements can be enhanced with carve-in pharmacy benefits, providing more complete contractual care performance metrics and reporting.
Data approach
Prioritize the health of your employees and your group’s bottom line with drug benefit recommendations backed by integrated data and intelligence.
Channel independence
Choose any path that best serves your employees, prioritizing affordability, quality and customer service through any channel you and they prefer.
Employee experience
Provide employee-centric solutions at each step of their journeys, integrating seamlessly into their overall care experience thanks to our deep integration.
Goals
Work with a partner whose goals are your goals. Our focus is on your needs first, striving to help you lower costs, deliver seamless service and support the health of your employees.
1 Blue Cross and Blue Shield of Alabama pharmacy integration study, 2024
BLUE CROSS®, BLUE SHIELD® and the Cross and Shield Symbols are registered service marks of the Blue Cross Blue Shield Association, an association of independent Blue Cross and Blue Shield Plans that includes Blue Cross and Blue Shield of Alabama.
Prime Therapeutics LLC is an independent company that provides pharmacy solutions for Blue Cross and Blue Shield of Alabama members. Blue Cross and Blue Shield of Alabama is an independent licensee of the Blue Cross Blue Shield Association.