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Specialty Drug Spend

Specialty drugs used to treat complex conditions such as cancer, HIV, and Hepatitis C come at a high price. Cairnstone Benefits Group has developed a set of integrated pharmacy protocols to more tightly manage dollars spent on specialty drugs.

We continually educate ourselves on the latest developments in drug therapies and research opportunities to save costs without jeopardizing the well-being of employees. As a result, we look for items that impact the cost of drugs with a different perspective.

Unique Cairnstone Perspective Saves Money

Physicians may prescribe a drug to treat a condition and be unaware of the costs to the patient or the employer. Once informed, they typically consider other alternatives that have the same success rate, but at a lower cost. Cairnstone Benefits Group manages from both a clinical and cost perspective. Medical personnel and even insurance case managers only manage from a clinical perspective – without regard to cost. We engage with physicians and practitioners to help educate them on the cost of care.

In one case, we shared with a doctor how a site of service change could impact the drug’s cost. Simply by moving to a more efficient site for delivery of the same drug, we were able to lower the cost dramatically – saving tens of thousands of dollars each month. Clinically, the prescriber was entirely correct, but unaware that the site of service had an effect on the overall costs. This is not an isolated case.

We advocate for both the patient and the plan. Because we constantly monitor both the clinical and the cost perspectives of healthcare, we identify the opportunities to save money without compromising employee wellness.


At the Core: Employee Well-Being

There’s a difference between managing and serving an employee population. We bring the expertise that allows you to serve your employees with the best medical treatment, while managing the costs in an efficient manner. We care that your employees receive the right drug treatments at the right time and in the right place as well as education to help them manage their condition, all at the right price.

Protecting the Patient Medically and Financially

Our specialty drug protocols bring transparency to the often hidden specialty drug spend, and helps you closely monitor these costs. Contact us today to discuss how we can assist you and your employees with your specialty drug needs.

The Cairnstone Difference

Our culture is one of service and high-touch engagement. As advisors and advocates, we seek to make your life easier and your employees’ lives better. Let’s talk about how to enrich your workforce – and your bottom line.

Call: 317-669-9470   Toll free: 1-877-977-0117

Transform the way you deploy benefits

Cairnstone designs customized benefit plans to help your employees reach their health goals, while realizing cost savings and compliance.

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Gain control over the drivers of healthcare cost

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A holistic approach to population health contributes to improved health, productivity, morale, retention, and job satisfaction.

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