High-cost and specialty medications can significantly drive up a health plan’s costs. By enrolling members in Manufacturer’s Assistance Programs (MAPs) and sourcing drugs internationally, a plan can dramatically reduce these costs, sometimes by up to 80%.
Through MAPs, drug manufacturers sometimes offer medications at huge discounts for members who meet certain financial criteria. International sourcing is exactly what it sounds like: because many drugs are less expensive in other countries, health plans can sometimes buy the drugs internationally and bring them into the United States, effectively getting them at a discount.
Frequency: low-medium (depending on the number of members receiving relevant drugs)
Impact to quality: none
Impact to cost: high
Grant Parker (Flume Health) speaks with Bryan Bickely (Scott Insurance) about the amazing results of unbundled, independent plan design
In the final installment of our recurring series on healthcare arbitrage, we round up a few other tactics which don't require as much ongoing involvement, but which can still provide important savings opportunities.