A complete solution for moving the coverage of medical provider administered specialty drugs from the medical benefit to the pharmacy benefit without disrupting patient access to drug therapy administered by their providers across all places of service
Accomplish the Medical to Pharmacy Benefit Shift
Rising drug costs and lack of visibility into data of physician administered specialty drugs have been causing headaches for payers. Now, with SpecialtyXB you can control costs and manage medical specialty drugs without disrupting patient access and medical provider reimbursement.
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Control Costs
Rising drug costs and lack of visibility into data of physician administered specialty drugs have been causing headaches for payers. Now, with SpecialtyXB you can control costs and manage medical specialty drugs without disrupting patient access and medical provider reimbursement.
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Improve Data Visibility
All claim and payment data from medical provider administered drugs is now combined with all other specialty drug data
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Increase Efficiencies
Administration of medical provider administered drugs performed by pharmacy benefit teams along with all other specialty drugs
PAYERS
Curb the spend
Reduce the cost of specialty drugs while retaining good provider relationships without giving up control
PROVIDERS
Business as usual
Easy to use solution to submit claims while retaining buy and bill reimbursement
PATIENTS
No surprises
Keep current providers while getting real time access to out of pocket costs