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Identify opportunities to manage specialty pharmacy costs for existing and new drug therapies.
Milliman Specialty Pharmacy Insights
Specialty pharmacy costs have consistently increased at a higher rate than overall healthcare and pharmacy costs, and this trend is expected to continue. High-cost drugs entering the market typically have large variability in uptake and create significant uncertainty, yet it is challenging to know when therapeutic alternatives and other cost-saving measures are viable.
Get the power of in-depth data and advanced models through an easy-to-use, web-based solution. Specialty Pharmacy Insights provides the insight you need to manage specialty drug utilization and costs while delivering equivalent treatment options for patients.
Review the viability of shifting site of care, dose optimization, and biosimilar drugs.
Understand which treatments provide high value outcomes based on individual patient characteristics.
Learn when new specialty drugs are expected to launch in the market and how your specialty pharmacy spend and utilization compares to others.
Open the Specialty Pharmacy Insights dashboard and download reports and files through a secure, web-based interface.
The latest models and clinically-validated identification techniques to accurately identify medical and pharmacy spend optimization opportunities.
Our newest technologies use the latest cloud technologies and RESTful APIs to maximize scalability and provide clients maximum integration flexibility.
Identify patients whose diagnosis codes indicate they may have a treatable disease using currently approved or FDA pipeline drugs.
Get a handle on the complexity of estimating healthcare financial risk with the industry's leading actuarial services firm.
Answer key business questions with our in-depth understanding of risk-sharing contracts, advanced analytics, and modeling.
Implement effective alternative payment strategies in collaboration with Medicare, including shared savings arrangements.
Improve care quality and cost efficiency with the leading independent Medicare experts.
Reduce risk and increase revenue from the patient to the system level, including population health management and financial strategy.
Identify areas of strength and gaps in performance with benchmarking reports that provide actionable advice.
Ask the tough questions. We’re ready for them.