Today's pharmacy landscape is producing breakthroughs that offer new possibilities for improving people's lives. Specialty medications and emerging cell and gene therapies help ease chronic conditions, treat cancer, and give hope for rare diseases. These advancements also bring fast-growing costs for employers.
Highmark Pharmacy helps employers proactively manage total cost of care, connecting the dots between medications and medical outcomes. Pharmacy is more than a carve-out option; it's an essential component of employee health and wellness.
"Our solutions address barriers to comprehensive pharmacy care," says Sarah Marché, PharmD. Marché is SVP, Pharmacy Services at Highmark, Inc. "We're reducing fragmentation, creating transparency, and making the experience easier for our customers and members."
Highmark Pharmacy is built on four foundational elements that support one another. We're focused on better outcomes through pharmacy innovation that creates patient-centered experiences at sustainable cost.
Our foundational elements include:
Highmark combines clinical expertise with deep insights to deliver evidence-based pharmacy care. We help connect members to the most clinically appropriate medications at an affordable price through:
We are driving industry-wide change with a more transparent operations model and strategic collaborations. Our innovation strategy is built on:
Highmark ensures a seamless and reliable pharmacy experience that is easy and predictable for employers and employees. We can provide:
We provide personalized cost-saving solutions. Our custom pharmacy networks offer:
Highmark Pharmacy supports employers, members, providers, and the broader healthcare system. We keep people healthy by using insights into individual risk factors and real-world pharmaceutical data.
One example is obesity and weight-loss drugs, combined with lifestyle change education. Successful, intentional use of medication today can help avoid diabetes, heart disease, and other chronic conditions tomorrow.
"For example, GLP-1s are first-line treatment options that are especially good for people already diagnosed with diabetes. But that doesn't mean GLP-1s are the best choice for everyone with obesity," explains Marché.
Highmark is taking a proactive stance in addressing the pharmacy challenges with a leading patient-centric pharmacy model. "Getting people the right drug at the right time in the right setting will improve outcomes and reduce cost," stresses Marché.
"We allow for more treatment options and connections to coordinated clinical care, informed by data across the entire health experience. Keeping our members as healthy as possible addresses affordability from a broader perspective," she concludes.
When pharmacy decisions are aligned with clinical care, we can improve member outcomes while employers save on overall benefits costs. Learn more about Highmark Pharmacy in the forthcoming articles from this five-part series or call your broker or account manager today.
* Program availability and eligibility may vary by region. Refer to the region-specific program overview document for applicable inclusions and exclusions.
All references to “Highmark” in this communication are references to Highmark Inc., an independent licensee of the Blue Cross Blue Shield Association, and/or to one or more of its affiliated Blue companies.
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