Actionable insights for managing specialty drug spend
Archimedes’ offers business intelligence and reporting services through Specialty IQ™, a next-generation technology and workflow management tool designed to manage specialty drugs across both the pharmacy and the medical benefit. Specialty IQ™ allows plan sponsors, consultants, health plans and PBMs to identify opportunities to remove waste and optimize care.
SPECIALTY PBM CARVE OUT
High-touch services for the complex patient
Archimedes is helping plan sponsors, consultants and health plans address the rising cost of specialty medications through our unique specialty drug carve out solution.
- Moves management of specialty drug benefit to Archimedes through close coordination with the health plan and PBM
- Leverages Archimedes’ clinical expertise and technology to implement a robust prior authorization program and case management for high cost specialty patients.
- Utilizes Archimedes’ formulary to optimize appropriate use and net cost before rebates.
MEDICAL SPECIALTY BENEFIT MANAGEMENT
Integrated technology and service solutions for specialty
Powered by Specialty IQ™, Archimedes’ Medical Management program works with health plans to monitor and manage specialty medications coming through the medical benefit, identifying opportunities for savings and optimization of care on a prospective or retrospective basis.
- Rigorous clinical management including prior authorization, drug reviews and ongoing monitoring of response to therapy.
- Interventions to promote cost-effective sites of care for infusions.
- Medical claims editing and monitoring for billing errors.
- Combining medical management with Archimedes’ specialty drug carve out solution gives plan sponsors, consultants and health plans visibility to the entire specialty drug spend across the pharmacy and medical benefits, maximizing the ability to identify and remove waste.