A skeptical employer gains control of its prescription benefits and protection from rising prices.
A skeptical employer gains control of its prescription benefits and protection from rising prices.
1 PagesTHE CHALLENGE A division of a Fortune 200 drug maker relied on a respected health plan for both medical and pharmacy benefits for several years. But as the group grew and the cost of the drug benefits increased, they considered contracting separately, or carving out, pharmacy components of the benefit. A carve out would give the company greater control over the benefits and costs. It could also give it a better view into the utilization of its employee population and, in doing so, shed light on ways to bend the cost curve down. But on the HR team there were skeptics. Would this add to their workload? Were they inviting administrative headaches? How would they handle employee and member phone calls about exceptions, denials, and other problems
