Print Page   |   Contact Us   |   Sign In
Community Search
GPOs – Valued Partners in Healthcare
Blog Home All Blogs
The healthcare group purchasing organization (GPO) members of HSCA work closely with their provider partners across the continuum of care to reduce cost, add value, and improve outcomes for patients. Below you'll find some narratives that help to demonstrate why GPOs are valued partners in healthcare.

 

Search all posts for:   

 

Top tags: Cost  Intalere  Savings  Vizient  Arizona  Premier  Safety/Quality  MedAssets  Pennsylvania  Texas  Arkansas  TPC  Washington  GNYHA  Illinois  Indiana  Innovation  Missouri  Nebraska  Nevada  New England  New York  Ohio  Pharmacy  Texas Purchasing Coalition  Transparency  Virginia 

IDN saves $1M+ through new PBM relationship

Posted By HSCA, Tuesday, September 15, 2015

CHALLENGE

In any business today, managing pharmacy benefits effectively is a growing concern. Drug costs continue to climb. Expensive specialty drug use and rapidly escalating costs are especially alarming.

“Pharmacy benefits can quickly throw you off balance cost-wise,” said Teena Senicka, Manager, Total Rewards, Riverside Health System in Newport News, VA. “It’s a red flag area of concern.”

In the third quarter of 2013, Riverside began a review of its Pharmacy Benefits Management (PBM) relationship. “We wanted a more innovative approach,” Senicka said. “We needed to look for new ways to drive savings. We wanted a partner to help us develop a custom solution, to take better advantage of our own health system’s resources.”

SOLUTION

An engaged member of Premier, Inc. (NASDAQ: PINC) and winner of the 2015 Norling Award, the health care alliance’s highest member recognition, Riverside turned to Premier. The two partnered in the first quarter of 2014 to launch a program that used Riverside’s resources in combination with Premier’s PBM program administered by MedImpact.

For employees who use the system’s retail pharmacy, there is no copay or it’s reduced. Riverside even developed an app employees can use to order refills via their smart phones. All they need to do is pick up the prescriptions from the in-house pharmacy.

The PBM benefit is woven into employee benefits. For instance, the My Healthy Lifestyle Wellness Program in 2016 will offer new incentives for employees who use the diabetes education program or professional coaching for such chronic conditions as asthma, coronary artery disease and heart failure.

The year-old diabetes program has been a success, Senicka said. Among other things, to promote compliance among employees and dependents, diabetes drugs and supplies in generic and brand categories do not have copays and non-formulary drug prices are significantly reduced. Riverside’s emphasis is on making resources available to help employees or dependents manage diabetes by removing cost barriers.

RESULT

In 2014, year one of the PBM relationship with Premier, Riverside saved more than $1 million – 14 percent of plan drug costs.

“Results have exceeded our expectations,” said Senicka. “Premier is a flexible partner. When we see opportunities, Premier either has a program we can use or will work with us to develop a custom solution. Premier’s innovation and flexibility has produced very tangible results.”

Tags:  Cost  Pharmacy  Premier  Virginia 

Share |
Permalink
 
Sign In


Latest News