What's Happening?
Highmark has reported success in its specialty pharmacy partnership with Free Market Health, which has improved access and adherence to specialty medications. The program has resulted in higher access rates and faster first fills for patients starting
specialty drugs. It is utilized across various insurance plans, including Medicaid and employer-sponsored coverage. The partnership leverages Free Market Health's platform to connect patients with specialty pharmacies that meet their needs, while also addressing social determinants of health for high-risk patients.
Why It's Important?
The partnership highlights the potential of innovative pharmacy management strategies to improve patient outcomes and reduce healthcare costs. By enhancing access to specialty medications and addressing social determinants of health, the program supports better adherence and reduces drug abandonment. This approach could serve as a model for other insurers and healthcare providers seeking to optimize specialty drug management and improve patient care. The success of such programs can contribute to more efficient healthcare delivery and better health outcomes for patients with complex conditions.









