When your members need specialty drugs,
there’s a lot for their providers to consider.
What’s right for this patient with this disease?
New treatments and therapies are constantly in development,
which makes it impossible to keep up.
And of course, it’s not just a clinical decision.
It’s also a financial decision.
The average cost of specialty drugs is very high.
It’s important that treatments are high quality and cost effective.
There’s an easy way for providers to stay
up to date on specialty drugs
and make sure that everything goes smoothly for you
and your members.
The Optum Specialty Guidance Program.
Here’s how it works.
After providers meet with your members,
they’ll need to determine a treatment for prior authorization.
Optum is seamlessly integrated into your portal.
The provider will input the drug they’re looking for
and then we’ll guide them based on several factors.
Clinical appropriateness.
This includes the latest research on outcomes for similar patients,
as well as guidance from the health plan.
Site of care, outpatient facility, physician office, at home.
There can be a huge cost difference for the same drug
administered at each location.
Convenient for your members is a big deal too.
Preferred products.
Two patients may have the same condition
but their health plans may have different preferred products,
which may lead to quicker care and fewer roadblocks.
That means happier members and happier providers.
We have guidance for over 50 conditions
and support all specialty drugs on the medical benefit.
Make managing specialty drugs
easier and more cost effective
for you, your providers, and your members,
with Optum Specialty Guidance Program.
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