EmpiRx Health’s Clinical Care Management Program Shows Immediate Results

EmpiRx Health implemented a 36,000 life client in January 2015 mirroring the same plan design and clinical rules that were in place with the previous vendor. In July 2015 our innovative Clinical Care Management programs were activated to yield significant savings for both client and member. The following analysis shows the savings and GDR increases achieved from January to December 2015.

With the adoption of the EmpiRx Health Clinical Care Management Program

  • Total trend was reduced by 2.3% (from 8.9% to 6.6%) resulting in $2 million in clinical savings across all therapeutic classes
  • Clinical Care Management of 5 Drug classes in the client’s top 15 drug classes produced a 20% decrease in drug cost per day (from $1.57 to $1.26)
  • Aggregate GDR in the top 15 classes increased by 5.74 percentage points
  • Program was implement with minimal noise and maximum satisfaction

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