Site of Service Management

Did you know that specialty drugs administered in a hospital or outpatient setting can cost 1.5 to 2 times more than when administered in a physician’s office?*

Our comprehensive solution for managing the cost and reimbursement of provider-administered, high-cost specialty injectable drugs paid under the medical benefit considers the most appropriate and cost-effective site of care. Plus, our solutions are flexible and customizable to meet your plan’s unique goals! Whether you are looking to implement a voluntary solution or a more robust, mandatory program, we combine several strategies to deliver proven cost savings and drive value while maintaining quality of care:

Your provider network dynamics
Benefit design
Clinical programs

Member drug utilization
Member choice

*2019 Magellan Rx Management Medical Pharmacy Trend Report

The power of integration

Ask us how we can develop targeted solutions to optimize appropriate use, adherence, and cost management for high-cost specialty drugs on the medical benefit.